Carotid ultrasound is a non-invasive examination method that can visually observe the blood flow of the carotid artery and check for plaque or stenosis. However, Dr. Chen reviewed several articles and had several opinions that it was not recommended to do carotid color ultrasound for ordinary people who were not at high risk. What the hell is going on? We also need readers and Dr. Chen to take a look at the truth of the facts!
According to the survey, the detection rate of arterial plaque in China over 40 years old is more than 40%, and the detection rate of arterial plaque in people over 60 years old has reached 90%. It seems that problems with carotid ultrasound are common. So why not recommend it? Some medical experts said that there are mainly the following reasons, which lead some doctors not to recommend carotid color ultrasound:
1. Cause unnecessary anxiety
The carotid ultrasound plaque detection rate is too high, and a large number of asymptomatic plaques may be detected, which may cause unnecessary anxiety and panic to patients. To cure or not to cure? Keep this question on your mind.
Second, the ** plan also needs to be different from person to person
For plaques in the carotid artery, surgery is required for severe cases**, and no special treatment is required for mild cases. And**and**and**no**, many short times can not see the advantages and disadvantages. Moreover, in most cases, the best plan is to change the lifestyle and control the risk factors, and the lifestyle change does not need to rely on the results of color ultrasound. Therefore, if there is an abnormality in the examination results, it is necessary to analyze the specific problem on a case-by-case basis.
Third, it may lead to excessive medical treatment
Many medical professionals believe that for asymptomatic people, these tests can lead to over-treatment and increase unnecessary medical costs. If the detection rate is too high, it will lead to an increase in the corresponding ** cost.
4. Who is going to do it? Who doesn't?
The real question is, who needs to do carotid ultrasound? Who doesn't need to do it? Let's take a look at the recommendations in the "Carotid Artery Color Ultrasound Examination Specifications for Chinese Health Examination Populations" jointly formulated by the Health Management Branch of the Chinese Medical Association, the Color Ultrasound Medicine Branch of the Chinese Medical Association, and the Cardiovascular Disease Branch of the Chinese Medical Association! For people with high blood pressure, coronary heart disease, stroke, diabetes, smoking, overweight and obesity, etc., and people with moderate cardiovascular risk or above, carotid color ultrasound is still required.
Many commentators say that these people almost represent the vast majority of middle-aged and elderly people.
Dr. Chen just wants to tell you that doctors usually determine whether a carotid ultrasound is needed based on a patient's symptoms and risk factors.
But the reality is that with or without carotid ultrasound, lifestyle changes should be made. Doing 10,000 carotid color ultrasounds, none of them are more useful than smoking a few cigarettes or drinking a few fewer alcohols. After all, the purpose of our examination is not to make ourselves anxious, but to make ourselves more attentive!
So, do you understand?