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Asymptomatic Atherosclerosis : Pathophysiology, Detection and Treatment

https://libcat.nshealth.ca/en/permalink/provcat28741
edited by Morteza Naghavi. --New York, NY: Humana Press , c2010.
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Despite recent advances in the diagnosis and treatment of symptomatic atherosclerosis, available traditional screening methods for early detection and treatment of asymptomatic coronary artery disease are grossly insufficient and fail to identify the majority of victims prior to the onset of a life-threatening event. In Asymptomatic Atherosclerosis: Pathophysiology, Detection and Treatment, Dr. Morteza Naghavi and leading authorities from the Society for Heart Attack Prevention and Eradication …
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Author
Naghavi, Morteza
Responsibility
edited by Morteza Naghavi
Place of Publication
New York, NY
Publisher
Humana Press
Date of Publication
c2010
Physical Description
1 online resource (xxii, 737 p. : ill.)
Series Title
Contemporary cardiology (Totowa, N.J. : Unnumbered)
ISBN
9781603271790
9781603271783 (print ed.)
Subjects (MeSH)
Atherosclerosis - diagnosis
Atherosclerosis - physiopathology
Atherosclerosis - therapy
Plaque, Atherosclerotic
Subjects (LCSH)
Cardiology
Abstract
Despite recent advances in the diagnosis and treatment of symptomatic atherosclerosis, available traditional screening methods for early detection and treatment of asymptomatic coronary artery disease are grossly insufficient and fail to identify the majority of victims prior to the onset of a life-threatening event. In Asymptomatic Atherosclerosis: Pathophysiology, Detection and Treatment, Dr. Morteza Naghavi and leading authorities from the Society for Heart Attack Prevention and Eradication (SHAPE) present a new paradigm for the screening and primary prevention of asymptomatic atherosclerosis. The text focuses on accurate, yet underutilized, measures of subclinical atherosclerosis, notably coronary artery calcium scanning and carotid intima-media thickness measurement. The authors introduce a comprehensive approach to identifying the vulnerable patients (asymptomatic individuals at risk of a near future adverse event). Additional chapters discuss future directions towards containing the epidemic of atherosclerotic cardiovascular disease using innovative solutions such as preemptive interventional therapies (bioabsorbable stents) for stabilization of vulnerable atherosclerotic plaques, mass unconditional Polypill therapy for population-based risk reduction, and ultimately vaccination strategies to prevent the development of atherosclerosis. Up-to-date and authoritative, Asymptomatic Atherosclerosis: Pathophysiology, Detection, and Treatment is a must-have for any cardiologist or primary care physician who wishes to practice modern preventive cardiology and manage the increasing number of asymptomatic atherosclerotic patients. Outlines more accurate measures of risk (coronary artery calcium and carotid intima-media thickness) than traditional risk factors (total cholesterol, LDL cholesterol, HDL cholesterol). Presents new multipronged strategies to aid in the early detection and treatment of high risk asymptomatic patients.
Contents
1. Preventive Cardiology: The SHAPE of the Future -- 2. From Vulnerable Plaque to Vulnerable Patient -- 3. Pathology of Vulnerability Caused by High-Risk (Vulnerable) Arteries and Plaques -- 4. Pathophysiology of Vulnerability Caused by Thrombogenic (Vulnerable) Blood -- 5. Vulnerability Caused by Arrhythmogenic Vulnerable Myocardium -- 6. Approach to Atherosclerosis as a Disease: Primary Prevention Based on the Detection and Treatment of Asymptomatic Atherosclerosis -- Section I. Risk Factors and Circulating Markers of Asymptomatic Atherosclerotic Cardiovascular Disease -- 7. History of the Evolution of Cardiovascular Risk Factors and the Predictive Value of Traditional Risk-Factor-Based Risk -- 8. Comprehensive Lipid Profiling Beyond LDL -- 9. New Blood Biomarkers of Inflammation and Atherosclerosis -- 10. Genomics and Proteomics: The Role of Contemporary Biomolecular Analysis in Advancing the Knowledge of Atherosclerotic Coronary Artery Disease -- 11. Circulating Endothelial Progenitor Cells: Mechanisms and Measurements -- 12. Family History: An Index of Genetic and Environmental Predisposition to Coronary Artery Disease -- 13. Endothelial Activation Markers in Sub-clinical Atherosclerosis: Insights from Mechanism-Based Paradigms -- Section II. Non Invasive, Non Imaging, Assessment of Asymptomatic Atherosclerotic Cardiovascular Disease -- 14. Exercise Stress Testing in Asymptomatic Individuals and Its Relation to Subclinical Atherosclerotic Cardiovascular Disease -- 15. The Ankle Brachial Index -- 16. Arterial Elasticity/Stiffness -- 17. Assessment of Endothelial Function in Clinical Practice -- 18. Digital (Fingertip) Thermal Monitoring of Vascular Function: A Novel, Noninvasive, Nonimaging Test to Improve Traditional Cardiovascular Risk Assessment and Monitoring of Response to Treatments -- 19. Assessment of Macro- and Microvascular Function and Reactivity -- Section III. Non Invasive Structural Imaging of Asymptomatic Atherosclerotic Cardiovascular Disease -- 20. Coronary Artery Calcium Imaging -- 21. Noninvasive Ultrasound Imaging of Carotid Intima Thickness -- 22. Carotid Intima-Media Thickness: Clinical Implementation in Individual Cardiovascular Risk Assessment -- 23. Computed Tomographic Angiography -- 24. Role of Noninvasive Imaging using CT for Detection and Quantitation of Coronary Atherosclerosis -- 25. Noninvasive Coronary Plaque Characterization: CT Versus MRI -- 26. Magnetic Resonance Imaging -- 27. The Role of MRI in Examining Subclinical Carotid Plaque -- 28. Comprehensive Non-contrast CT Imaging of the Vulnerable Patient -- Section IV. Non Invasive Functional Imaging of Asymptomatic Atherosclerotic Cardiovascular Disease -- 29. Ultrasound Assessment of Brachial Artery Reactivity -- 30. Cardiac Imaging for Ischemia in Asymptomatic Patients: Use of Coronary Artery Calcium Scanning to Improve Patient Selection: Lessons from the EISNER Study -- 31. Targeted MRI of Molecular Components in Atherosclerotic Plaque -- 32. Noninvasive Imaging of the Vulnerable Myocardium: Cardiac MRI and CT Based -- Section V. Invasive (Intravascular) Risk Stratification for Detection of Vulnerable (High-Risk) Asymptomatic Atherosclerotic Plaques -- 33. Angiography for Detection of Complex and Vulnerable Atherosclerotic Plaque -- 34. Intravascular Characterization of Vulnerable Coronary Plaque -- 35. Detecting Vulnerable Plaque Using Invasive Methods -- 36. Assessment of Plaque Burden and Plaque Composition Using Intravascular Ultrasound -- 37. Vulnerable Anatomy; The Role of Coronary Anatomy and Endothelial Shear Stress in the Progression and Vulnerability of Coronary Artery Lesions: Is Anatomy Destiny? -- 38. Vasa Vasorum Imaging -- Section VI. Screening for Risk Assessment of Asymptomatic At-Risk Population and Identification of the Vulnerable Patient – The SHAPE Paradigm - 39. From Vulnerable Plaque to Vulnerable Patient – Part III. -- 40. Cost Effectiveness of Screening Atherosclerosis -- 41. Monitoring of Subclinical Atherosclerotic Disease -- 42. Implications of SHAPE Guideline for Improving Patient Compliance -- 43. The SHAPE Guideline: Why Primary Care Physicians Should Embrace It -- 44. Should We Treat According to the SHAPE Guidelines? -- 45. Duty-Bound: Rational Foundations of Clinical Strategies for Prevention of Cardiovascular Events -- 46. A Time to Live: Dynamic Changes in Risk as the Basis for Therapeutic Triage -- Section VII. Treatment of Asymptomatic Atherosclerotic Cardiovascular Disease and the Vulnerable Patients: Systemic Therapies -- 47. LDL Targeted Therapies -- 48. Antioxidants as Targeted Therapy: A Special Protective Role for Pomegranate and Paraoxonases (PONs -- 49. The Multiconstituent Cardiovascular Pill (MCCP): Challenges and Promises of Population Based Prophylactic Drug Therapy for Heart Attack Prevention and Eradication -- 50. Vaccine for Atherosclerosis: An Emerging New Paradigm -- Section VIII. Local and Focal Therapies for Stabilization of Vulnerable Arteries and Plaques -- 51. Drug-Eluting Stents: A Potential Preemptive Treatment Choice for Vulnerable Coronary Plaques -- 52. Intrapericardial Approach for Pancoronary Stabilization of the Vulnerable Arteries and Myocardium -- Section IX. Educations, Life Style Modifications and Non-Pharmacologic Treatments for Primary Prevention and Saving the Vulnerable -- 53. Dietary Management for Coronary Atherosclerosis Prevention and Treatment -- 54. Management of Preconditioning Physical Activity in a Vulnerable Patient: Getting in SHAPE -- 55. Last Chance for Prevention (Acute Prevention): Identification of Prodromal Symptoms and Early Heart Attack Care.
Format
e-Book
Location
Online
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Cardiovascular imaging : arterial and aortic valve inflammation and calcification

https://libcat.nshealth.ca/en/permalink/provcat33934
Elena Aikawa, editor. --Cham, Switzerland: Springer , c2015.
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Location
Online
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Other Authors
Aikawa, Elena
Responsibility
Elena Aikawa, editor
Place of Publication
Cham, Switzerland
Publisher
Springer
Date of Publication
c2015
Physical Description
1 online resource (xiv, 389 pages)
ISBN
9783319092683 (electronic bk.)
9783319092676
Subjects (MeSH)
Aortic Valve Stenosis - diagnosis
Atherosclerosis - diagnosis
Cardiac Imaging Techniques
Diagnostic Techniques, Cardiovascular
Subjects (LCSH)
Cardiovascular system - Diseases - Imaging
Contents
Part I. Preclinical Imaging of Mechanisms of Atherosclerosis and Its Complications -- 1. Pathobiology and Mechanisms of Atherosclerosis -- 2. Ultrasound Molecular Imaging of Endothelial Cell Activation and Damage in Atherosclerosis -- 3. Molecular Imaging of Macrophages in Atherosclerosis -- 4. Intravascular Molecular Imaging of Proteolytic Activity -- 5. Optical Molecular Imaging of Inflammation and Calcification in Atherosclerosis -- 6. Molecular Imaging of Oxidation- Specific Epitopes to Detect High-Risk Atherosclerotic Plaques -- 7. Live Cell Multiphoton Microscopy of Atherosclerotic Plaques in Mouse Aortas -- 8. Imaging of Complications in Atherosclerosis: Thrombosis and Platelet Aggregation -- Part II. Imaging Insights into Mechanisms of Calcific Aortic Valve Disease (CAVD) and Calcification -- 9. Pathobiology and Optical Molecular Imaging of Calcific Aortic Valve Disease -- 10. PET/CT Imaging of Inflammation and Calcification in CAVD: Clinical Studies -- 11. Ultrasound Imaging of Calcific Aortic Valve Disease -- 12. Innovations in Microscopic Imaging of Atherosclerosis and Valvular Disease -- Part III. Clinical Imaging of Cardiovascular Inflammation and Calcification -- 13. Molecular MR Imaging of Atherosclerosis -- 14. Cardiac PET Imaging in Coronary Artery Disease -- 15. PET/CT Imaging of Inflammation and Calcification -- 16. Clinical Feasibility and Monitoring of the Effects of Anti-inflammatory Therapy in Atherosclerosis.
Format
e-Book
Location
Online
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Multi-Modality Atherosclerosis Imaging and Diagnosis

https://libcat.nshealth.ca/en/permalink/provcat39589
Luca Saba, João Miguel Sanches, Luís Mendes Pedro, Jasjit S. Suri, editors. --New York, NY: Springer , c2014.
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Stroke is one of the leading causes of death in the world, resulting mostly from the sudden ruptures of atherosclerosis carotid plaques. Understanding why and how plaque develops and ruptures requires a multi-disciplinary approach such as radiology, biomedical engineering, medical physics, software engineering, hardware engineering, pathological and histological imaging. Multi-Modality Atherosclerosis Imaging, Diagnosis and Treatment presents a new dimension of understanding Atherosclerosis in …
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Other Authors
Saba, Luca
Sanches, João Miguel
Pedro, Luís Mendes
Suri, Jasjit S
Responsibility
Luca Saba, João Miguel Sanches, Luís Mendes Pedro, Jasjit S. Suri, editors
Place of Publication
New York, NY
Publisher
Springer
Date of Publication
c2014
Physical Description
1 online resource (xix, 422 p. : 330 illus., 208 illus. in color)
ISBN
9781461474258
9781461474241 (print ed.)
Subjects (MeSH)
Atherosclerosis - diagnosis
Atherosclerosis - diagnostic imaging
Image Interpretation, Computer-Assisted
Multimodal Imaging - methods
Stroke - prevention & control
Tomography, X-Ray Computed - methods
Abstract
Stroke is one of the leading causes of death in the world, resulting mostly from the sudden ruptures of atherosclerosis carotid plaques. Understanding why and how plaque develops and ruptures requires a multi-disciplinary approach such as radiology, biomedical engineering, medical physics, software engineering, hardware engineering, pathological and histological imaging. Multi-Modality Atherosclerosis Imaging, Diagnosis and Treatment presents a new dimension of understanding Atherosclerosis in 2D and 3D. This book presents work on plaque stress analysis in order to provide a general framework of computational modeling with atherosclerosis plaques. New algorithms based on 3D and 4D Ultrasound are presented to assess the atherosclerotic disease as well as very recent advances in plaque multimodality image fusion analysis. The goal of Multi-Modality Atherosclerosis Imaging, Diagnosis and Treatment is to fuse information obtained from different 3D medical image modalities, such as 3D US, CT and MRI, providing the medical doctor with some sort of augmented reality information about the atherosclerotic plaque in order to improve the accuracy of the diagnosis. Analysis of the plaque dynamics along the cardiac cycle is also a valuable indicator for plaque instability assessment and therefore for risk stratification. 4D Ultrasound, a sequence of 3D reconstructions of the region of interest along the time, can be used for this dynamic analysis. Multimodality Image Fusion is a very appealing approach because it puts together the best characteristics of each modality, such as, the high temporal resolution of US and the high spatial resolutions of MRI and CT.
Contents
Part I. Introduction: Anatomy and Imaging -- 1. Imaging Occlusive Atherosclerosis -- Part II. MR Atherosclerosis -- 2. Histopathology of Atherosclerosis Progression:What Imagers Need to Know -- 3. Clinical MRA of the Carotid Arteries -- 4. Quantitative MR Analysis for the Assessment of Carotid Atherosclerosis -- 5. Contrast Agents in Carotid Angiography with Magnetic Resonance -- 6. Quantitative Magnetic Resonance Analysis in the Assessment of Cardiac Diseases -- 7. Atherosclerosis Plaque Stress Analysis: A Review -- 8. Carotid Plaque Stress Analysis: Issues on Patient-Specific Modeling -- 9. Magnetic Resonance Imaging of Vulnerable Carotid Plaques -- Part III. CT Atherosclerosis Imaging -- 10. Clinical CT Imaging of Carotid Arteries -- 11. Quantitative CT Imaging of Carotid Arteries -- 12. Quantitative Computed Tomography Analysis in the Assessment of Coronary Artery Disease -- Part IV. Ultrasound Atherosclerosis Imaging -- 13. A GammaMixture Model for IVUS Imaging -- 14. Ultrasound Profile of Carotid Plaque: A New Approach Towards Stroke Prediction -- 15. Ultrasonographic Quantification of Carotid Stenosis: A Reappraisal Using a New Gold Standard -- 16. Histologic and Biochemical Composition of Carotid Plaque and Its Impact on Ultrasonographic Appearance -- 17. Automated Carotid IMT Measurement and Its Validation in Low Contrast Ultrasound Database of 885 Patient Indian Population Epidemiological Study: Results of AtheroEdge® Software -- 18. Carotid Artery Recognition System (CARS): A Comparison of Three Automated Paradigms for Ultrasound Images -- 19. Atherosclerotic Carotid Plaque Segmentation in Ultrasound Imaging of the Carotid Artery -- 20. Relationship Between Plaque Echogenicity and Atherosclerosis Biomarkers -- 21 Hypothesis Validation of Far Wall Brightness in Carotid Artery Ultrasound for Feature-Based IMT Measurement Using a Combination of Level Set Segmentation and Registration -- 22. Segmentation of Carotid Ultrasound Images -- Part V. Nuclear Medicine, Molecular Imaging and Therapy -- 23. Imaging of Aortic Aneurysms: What Do We Need to Know and Which Techniques Should Be Chosen? -- 24. Molecular Imaging of Inflammation and Intraplaque Vasa Vasorum -- 25. Carotid Angioplasty and Stenting -- 26. New Approaches for Plaque Component Analysis in Intravascular Ultrasound (IVUS) Images -- 27. Visualization of Atherosclerotic Coronary Plaque by Using Optical Coherence Tomography -- 28. Image Fusion -- 29. Symptomatic Versus Asymptomatique Plaque Classification in Carotid Ultrasound.
Format
e-Book
Location
Online
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