In 2003, Dr. David Spence implemented a new approach to management of patients with vascular disease based on plaque measurement (1). This approach markedly reduced the risk of the highest risk patients, with asymptomatic carotid stenosis: the two-year risk of stroke was reduced from 8.8% to 1%, and the two-year risk of myocardial infarction was reduced by this approach from 7.6% to 1%.
As Dr. Spence has said, "Trying to treat arteries without measuring plaque is like trying to treat hypertension without measuring blood pressure."
To be the most innovative and effective way to manage cardiovascular risk.
1. Spence JD, Hackam DG. Treating Arteries Instead of Risk Factors. A Paradigm Change in Management of Atherosclerosis. Stroke 2010;41(6):1193-1199.