PMID- 32696658 OWN - NLM STAT- MEDLINE DCOM- 20201014 LR - 20221207 IS - 1940-1574 (Electronic) IS - 0003-3197 (Linking) VI - 71 IP - 10 DP - 2020 Nov TI - Does the Carotid Bulb Offer a Better 10-Year CVD/Stroke Risk Assessment Compared to the Common Carotid Artery? A 1516 Ultrasound Scan Study. PG - 920-933 LID - 10.1177/0003319720941730 [doi] AB - The objectives of this study are to (1) examine the "10-year cardiovascular risk" in the common carotid artery (CCA) versus carotid bulb using an integrated calculator called "AtheroEdge Composite Risk Score 2.0" (AECRS2.0) and (2) evaluate the performance of AECRS2.0 against "conventional cardiovascular risk calculators." These objectives are met by measuring (1) image-based phenotypes and AECRS2.0 score computation and (2) performance evaluation of AECRS2.0 against 12 conventional cardiovascular risk calculators. The Asian-Indian cohort (n = 379) with type 2 diabetes mellitus (T2DM), chronic kidney disease (CKD), or hypertension were retrospectively analyzed by acquiring the 1516 carotid ultrasound scans (mean age: 55 +/- 10.1 years, 67% males, approximately 92% with T2DM, approximately 83% with CKD [stage 1-5], and 87.5% with hypertension [stage 1-2]). The carotid bulb showed a higher 10-year cardiovascular risk compared to the CCA by 18% (P < .0001). Patients with T2DM and/or CKD also followed a similar trend. The carotid bulb demonstrated a superior risk assessment compared to CCA in patients with T2DM and/or CKD by showing: (1) approximately 13% better than CCA (0.93 vs 0.82, P = .0001) and (2) approximately 29% better compared with 12 types of risk conventional calculators (0.93 vs 0.72, P = .06). FAU - Viswanathan, Vijay AU - Viswanathan V AD - 58896Moopil Viswanathan Hospital for Diabetes and Professor M Viswanathan Diabetes Research Centre, Chennai, Tamil Nadu, India. FAU - Jamthikar, Ankush D AU - Jamthikar AD AD - Department of Electronics and Communication Engineering, 29583Visvesvaraya National Institute of Technology, Nagpur, Maharashtra, India. FAU - Gupta, Deep AU - Gupta D AD - Department of Electronics and Communication Engineering, 29583Visvesvaraya National Institute of Technology, Nagpur, Maharashtra, India. FAU - Puvvula, Anudeep AU - Puvvula A AD - Annu's Hospitals for Skin and Diabetes, Nellore, Andhra Pradesh, India. FAU - Khanna, Narendra N AU - Khanna NN AD - Department of Cardiology, 75911Indraprastha APOLLO Hospitals, New Delhi, India. FAU - Saba, Luca AU - Saba L AD - Department of Radiology, University of Cagliari, Cagliari, Italy. FAU - Viskovic, Klaudija AU - Viskovic K AD - Department of Radiology and Ultrasound, University Hospital for Infectious Diseases, Zagreb, Croatia. FAU - Mavrogeni, Sophie AU - Mavrogeni S AD - Cardiology Clinic, Onassis Cardiac Surgery Center, Athens, Greece. FAU - Laird, John R AU - Laird JR AD - Heart and Vascular Institute, Adventist Health St. Helena, St Helena, CA, USA. FAU - Pareek, Gyan AU - Pareek G AD - Minimally Invasive Urology Institute, 6752Brown University, Providence, RI, USA. FAU - Miner, Martin AU - Miner M AD - Men's Health Center, Miriam Hospital Providence, Providence, RI, USA. FAU - Sfikakis, Petros P AU - Sfikakis PP AD - Rheumatology Unit, 68993National and Kapodistrian University of Athens, Athens, Greece. FAU - Protogerou, Athanasios AU - Protogerou A AD - Department of Cardiovascular Prevention & Research Unit Clinic & Laboratory of Pathophysiology, 68993National and Kapodistrian University of Athens, Athens, Greece. FAU - Sharma, Aditya AU - Sharma A AD - Division of Cardiovascular Medicine, University of Virginia, Charlottesville, VA, USA. FAU - Kancharana, Priyanka AU - Kancharana P AD - 58896Moopil Viswanathan Hospital for Diabetes and Professor M Viswanathan Diabetes Research Centre, Chennai, Tamil Nadu, India. FAU - Misra, Durga Prasanna AU - Misra DP AD - Department of Clinical Immunology and Rheumatology, SGPGIMS, Lucknow, India. FAU - Agarwal, Vikas AU - Agarwal V AD - Department of Clinical Immunology and Rheumatology, SGPGIMS, Lucknow, India. FAU - Kitas, George D AU - Kitas GD AD - R & D Academic Affairs, 7714Dudley Group NHS Foundation Trust, Dudley, UK. FAU - Nicolaides, Andrew AU - Nicolaides A AD - Vascular Screening and Diagnostic Centre and University of Nicosia Medical School, Nicosia, Cyprus. FAU - Suri, Jasjit S AU - Suri JS AUID- ORCID: 0000-0001-6499-396X AD - Stroke Monitoring and Diagnostic Division, AtheroPoint, Roseville, CA, USA. LA - eng PT - Journal Article DEP - 20200722 PL - United States TA - Angiology JT - Angiology JID - 0203706 SB - IM MH - Adult MH - Aged MH - Asian People MH - Carotid Artery, Common/*diagnostic imaging MH - *Carotid Intima-Media Thickness MH - Diabetes Mellitus, Type 2/complications/*diagnostic imaging MH - Female MH - Humans MH - Hypertension/complications/*diagnostic imaging MH - India MH - Male MH - Middle Aged MH - Renal Insufficiency, Chronic/complications/*diagnostic imaging MH - Retrospective Studies MH - Risk Assessment MH - Stroke/*epidemiology OTO - NOTNLM OT - 10-year risk OT - atherosclerosis OT - cardiovascular risk OT - carotid bulb OT - chronic kidney disease OT - common carotid artery OT - risk assessment OT - type 2 diabetes EDAT- 2020/07/23 06:00 MHDA- 2020/10/21 06:00 CRDT- 2020/07/23 06:00 PHST- 2020/07/23 06:00 [pubmed] PHST- 2020/10/21 06:00 [medline] PHST- 2020/07/23 06:00 [entrez] AID - 10.1177/0003319720941730 [doi] PST - ppublish SO - Angiology. 2020 Nov;71(10):920-933. doi: 10.1177/0003319720941730. Epub 2020 Jul 22.