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Cited by 587

The DOI matches its Crossref record; 24 of the 24 references it cites were found in a registry or an index.

Carotid Plaque Area: A Tool for Targeting and Evaluating Vascular Preventive Therapy

Spence, J. David, Eliasziw, Michael, DiCicco, Maria, Hackam, Daniel G., Galil, Ramzy, Lohmann, Tara·2002·Stroke

Abstract

Background and Purpose— Carotid plaque area measured by ultrasound (cross-sectional area of longitudinal views of all plaques seen) was studied as a way of identifying patients at increased risk of stroke, myocardial infarction, and vascular death. Methods— Patients from an atherosclerosis prevention clinic were followed up annually for up to 5 years (mean, 2.5±1.3 years) with baseline and follow-up measurements recorded. Plaque area progression (or regression) was defined as an increase (or decrease) of ≥0.05 cm 2 from baseline. Results— Carotid plaque areas from 1686 patients were categorized into 4 quartile ranges: 0.00 to 0.11 cm 2 (n=422), 0.12 to 0.45 cm 2 (n=424), 0.46 to 1.18 cm 2 (n=421), and 1.19 to 6.73 cm 2 (n=419). The combined 5-year risk of stroke, myocardial infarction, and vascular death increased by quartile of plaque area: 5.6%, 10.7%, 13.9%, and 19.5%, respectively ( P <0.001) after adjustment for all baseline patient characteristics. A total of 1085 patients had ≥1 annual carotid plaque area measurements: 685 (63.1%) had carotid plaque progression, 306 (28.2%) had plaque regression, and 176 (16.2%) had no change in carotid plaque area over the period of follow-up. The 5-year adjusted risk of combined outcome was 9.4%, 7.6%, and 15.7% for patients with carotid plaque area regression, no change, and progression, respectively ( P =0.003). Conclusions— Carotid plaque area and progression of plaque identified high-risk patients. Plaque measurement may be useful for targeting preventive therapy and evaluating new treatments and response to therapy and may improve cost-effectiveness of secondary preventive treatment.

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Metadata

Authors
Spence, J. D., Eliasziw, M., DiCicco, M., Hackam, D. G., Galil, R., & Lohmann, T.
Venue
Stroke
Published
2002-12
Volume
33
Issue
12
Pages
2916-2922
ISSN
  • 0039-2499 (ISSN-L)
  • 1524-4628
OpenAlex
W2125096763
Cited by
587
References
24
FWCI
9.13
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Carotid Plaque Area: A Tool for Targeting and Evaluating Vascular Preventive Therapy. https://app.cochat.ai/papers/10.1161/01.str.0000042207.16156.b9
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Spence, J. D., Eliasziw, M., DiCicco, M., Hackam, D. G., Galil, R., & Lohmann, T. (2002). Carotid Plaque Area: A Tool for Targeting and Evaluating Vascular Preventive Therapy. Stroke. https://doi.org/10.1161/01.str.0000042207.16156.b9

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