Carotid IMT received a higher

level of recommendation in the

2010 ACCF/AHA Guidelines than

many other widely used tests.

●  Advanced Lipoprotein Analysis, including Lp(a)

●  C-Reactive Protein

●  Hemoglobin A1C

●  Lipoprotein-associated phospholipase A2 (Lp-PLA2)

●  Resting ECG (in those without HTN or DM)

●  Resting Echocardiography

●  Genotype Testing

●  Exercise ECG

●  Stress Echocardiography

In the November 2010 updated guidelines for assessment of cardiovascular risk in asymptomatic adults, the American College of Cardiology Foundation/American Heart Association Task Force gave carotid intima-media thickness on ultrasound a Class IIa recommendation.

“Measurement of carotid artery IMT is reasonable for cardiovascular risk assessment in asymptomatic adults at intermediate risk.” (Level of Evidence: B)

Greenland P, Alpert JS, Beller GA, Benjamin EJ, Budoff MJ, Fayad ZA, Foster E, Hlatky MA, Hodgson JMcB, Kushner FG, Lauer MS, Shaw LJ, Smith SC, Jr., Taylor AJ, Weintraub WS, Wenger NK. 2010 ACCF/AHA guideline for assessment of cardiovascular risk in asymptomatic adults: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol 2010;56:e50–103.