The site of the Media Sphera Publishers contains materials intended solely for healthcare professionals.
By closing this message, you confirm that you are a certified medical professional or a student of a medical educational institution.

Login
EN
+7 (495) 482-4118
+7 (495) 482-4329
+8 800 250-18-12
  • (toll-free number for subscriptions)
    Mon-Fri from 10 a.m. to 6 p.m.

  • © 1998-2025
+7 (495) 482-43-29
EN
All journals
Journal
Year
Year
Search result: 0

Bochkareva E.V.

National Medical Research Center of Preventive Medicine, Moscow, Russia

Stulin I.D.

Kafedra nervnykh bolezneĭ lechebnogo fakul'teta Moskovskogo gosudarstvennogo mediko-stomatologicheskogo universiteta

Butina E.K.

National Medical Research Center for Preventive Medicine, Ministry of Health of the Russia, Moscow, Russia

Vasil'ev A.Iu.

Moskovskiĭ gosudarstvennyĭ mediko-stomatologicheskiĭ universitet

Kim I.V.

FBGU "Éndokrinologicheskiĭ nauchnyĭ tsentr" Minzdravsotsrazvitiia Rossii, Moskva

Lezhnev D.A.

Kafedra otorinolaringologii, kafedra luchevoĭ diagnostiki Moskovskogo gosudarstvennogo mediko-stomatologicheskogo universiteta im. A.I. Evdokimova, Moskva

Boytsov S.A.

National Research Centre for Preventive Medicine, Moscow, Russia

Sadikov P.V.

Central Tuberculosis Research Institute, Moscow, Russia

Trukhanov S.A.

GBOU VPO "Moskovskiĭ gosudarstvennyĭ mediko-stomatologicheskiĭ universitet im. A.I. Evdokimova" Ministerstva zdravookhraneniia RF

Solonskiĭ D.S.

Kafedra nervnykh bolezneĭ lechebnogo fakul'teta Moskovskogo gosudarstvennogo mediko-stomatologicheskogo universiteta

Seleznev F.A.

Evdokimov Moscow State University of Medicine and Dentistry, Moscow

Djuvalyakov P.G.

Ministry of Health of the Astrakhan region, Astrakhan, Russia

Mikhaylova S.L.

Ministry of Health of the Astrakhan region, Astrakhan, Russia

Znaĭko G.G.

Institut élektronnykh upravliaiushchikh mashin im. I.S. Bruka, Moskva

Gusev A.P.

Brook Institute of Electronic Control Computers, Moscow, Russia

New opportunities in the early identification of people at high risk for stroke at mass preventive medical examinations

Authors:

Bochkareva E.V., Stulin I.D., Butina E.K., Vasil'ev A.Iu., Kim I.V., Lezhnev D.A., Boytsov S.A., Sadikov P.V., Trukhanov S.A., Solonskiĭ D.S., Seleznev F.A., Djuvalyakov P.G., Mikhaylova S.L., Znaĭko G.G., Gusev A.P.

More about the authors

Journal: Russian Journal of Preventive Medicine. 2018;21(5): 130‑135

DOI: 10.17116/profmed201821051130

Read: 597 times

Download PDF (RU)
Contact the author
Table of contents

NEW OPPORTUNITIES IN THE EARLY IDENTIFICATION OF PEOPLE AT HIGH RISK FOR STROKE AT MASS PREVENTIVE MEDICAL EXAMINATIONS
NEW OPPORTUNITIES IN THE EARLY IDENTIFICATION OF PEOPLE AT HIGH RISK FOR STROKE AT MASS PREVENTIVE MEDICAL EXAMINATIONS

To cite this article:

Bochkareva EV, Stulin ID, Butina EK, et al. . New opportunities in the early identification of people at high risk for stroke at mass preventive medical examinations. Russian Journal of Preventive Medicine. 2018;21(5):130‑135. (In Russ.)
https://doi.org/10.17116/profmed201821051130

Подписка 2026 Профилактическая медицина (Russian Journal of Preventive Medicine)
МСФ на ЯМ
Использование инфографики авторами научных работ
Close metadata
Abstract:

In recent years, there has been a decline in stroke death rates in Russia due to improvements in medical care for patients with advanced disease. Further improvement of the situation requires active primary stroke prevention in people with asymptomatic carotid artery (CA) stenosis, the detection of which is hampered by the lack of sufficient duplex scanning equipment. Russian and foreign studies to identify CA calcification using fluorography and orthopantomography (OPT) are analyzed. The frequency of CA calcification is shown to average 2 to 12%, increasing with age, especially in menopausal women (reaching 22.9%), as well as in concomitant disease. The calcifications detected by fluoroscopy and OPT are demonstrated to be of clinical significance for the diagnosis of atherosclerotic CA stenosis. It is concluded that digital chest fluorography is an effective and available tool for opportunistic screening of atherosclerotic CA calcification in order to identify persons in need of primary stroke prevention, which does not require additional financial costs or organizational resources. It is necessary to create special software modules of digital fluorographs for the automatic detection of CA calcifications.

Keywords:

primary stroke prevention
carotid artery calcification
carotid artery stenosis
digital chest fluorography
orthopantomography

Authors:

Bochkareva E.V.

National Medical Research Center of Preventive Medicine, Moscow, Russia

Stulin I.D.

Kafedra nervnykh bolezneĭ lechebnogo fakul'teta Moskovskogo gosudarstvennogo mediko-stomatologicheskogo universiteta

Butina E.K.

National Medical Research Center for Preventive Medicine, Ministry of Health of the Russia, Moscow, Russia

Vasil'ev A.Iu.

Moskovskiĭ gosudarstvennyĭ mediko-stomatologicheskiĭ universitet

Kim I.V.

FBGU "Éndokrinologicheskiĭ nauchnyĭ tsentr" Minzdravsotsrazvitiia Rossii, Moskva

Lezhnev D.A.

Kafedra otorinolaringologii, kafedra luchevoĭ diagnostiki Moskovskogo gosudarstvennogo mediko-stomatologicheskogo universiteta im. A.I. Evdokimova, Moskva

Boytsov S.A.

National Research Centre for Preventive Medicine, Moscow, Russia

Sadikov P.V.

Central Tuberculosis Research Institute, Moscow, Russia

Trukhanov S.A.

GBOU VPO "Moskovskiĭ gosudarstvennyĭ mediko-stomatologicheskiĭ universitet im. A.I. Evdokimova" Ministerstva zdravookhraneniia RF

Solonskiĭ D.S.

Kafedra nervnykh bolezneĭ lechebnogo fakul'teta Moskovskogo gosudarstvennogo mediko-stomatologicheskogo universiteta

Seleznev F.A.

Evdokimov Moscow State University of Medicine and Dentistry, Moscow

Djuvalyakov P.G.

Ministry of Health of the Astrakhan region, Astrakhan, Russia

Mikhaylova S.L.

Ministry of Health of the Astrakhan region, Astrakhan, Russia

Znaĭko G.G.

Institut élektronnykh upravliaiushchikh mashin im. I.S. Bruka, Moskva

Gusev A.P.

Brook Institute of Electronic Control Computers, Moscow, Russia

Close metadata

References:

  1. Samorodskaya IV, Larina VN, Boitsov SA. The contribution of four groups of noncommunicable diseases to the mortality of the population of the regions of the Russian Federation. The Russian Journal of Preventive Medicine. 2018;21(1):32-38. (In Russ.) https://doi.org/10.17116/profmed201821132-38
  2. Suslina ZA, Varakin YuYa. Clinical guidelines for the early diagnosis, treatment and prevention of cerebrovascular diseases. M. 2015;440. (In Russ.)
  3. Skvortsova VI, Shetova IM, Kakorina EP, et al. Reduction in stroke death rates through a package of measures to improve medical care for patients with vascular diseases in the Russian Federation. The Russian Journal of Preventive Medicine. 2018;21(1):4-10. (In Russ.) https://doi.org/10.17116/profmed20182114-10
  4. Prikaz Ministerstva zdravoohraneniya Rossijskoj Federatsii №869n ot 26.10.17 «Ob utverzhdenii poryadka provedeniya dispanserizacii opredelennyh grupp vzroslogo naseleniya». Accessed 01.08.18. (In Russ.) https://www.rosminzdrav.ru/documents/9556-prikaz-ministerstva-zdravoohraneniya-rossiyskoy-federatsii-ot-26-oktyabrya-2017-g-869n-ob-utverzhdenii-poryadka-provedeniya-dispanserizatsii-opredelennyh-grupp-vzroslogo-naseleniya
  5. Stulin ID, Belousov YuB, Vasil’ev AYu. Are the diagnostic services of city hospitals always fully utilized in recognizing atherosclerosis of the carotid arteries? Sovremennye metody ul’trazvukovoj diagnostiki zabolevanij serdca, sosudov i vnutrennih organov. M. 2004;40-41. (In Russ.)
  6. Stulin ID, Vasil’ev AYu, Belousov YuB. Radiography of the cervical spine for the detection of atherosclerosis of carotid and vertebral arteries. Zhurn nevrol psihiat im. S.S. Korsakova. 2006;16:35-40. (In Russ.)
  7. Hollander M, Hak AE, Koudstaal PJ, et al. Comparison between measures of atherosclerosis and risk of stroke: the Rotterdam Study. Stroke. 2003;34(10):2367-2372. https://doi.org/10.1161/01.str.0000091393.32060.0e
  8. Prikaz Ministerstva zdravoohraneniya Rossijskoj Federatsii №302n ot 12.04.11 «On the approval of lists of harmful and (or) dangerous production factors and work, in the performance of which mandatory preliminary and periodic medical examinations (examinations) are conducted, and the procedure for mandatory preliminary and periodic medical examinations of workers engaged in heavy work and work with harmful and (or) dangerous working conditions». Accessed 01.08.18. (In Russ.) http://www.consultant.ru/cons/cgi/online.cgi?req=doc&base=LAW&n=292340&fld=134&dst=1000000001,0&rnd=0.9754931627186973#026990377399559184
  9. Prikaz Ministerstva zdravoohraneniya Rossijskoj Federatsii №124n ot 21.03.17 «On approval of the order and timing of preventive medical examinations of citizens in order to detect tuberculosis» (did not come into effect). Accessed 01.08.18. (In Russ.) https://cdnimg.rg.ru/pril/141/11/61/46909.pdf
  10. Prikaz Ministerstva zdravoohraneniya Rossijskoj Federacii №1011n ot 06.12.12 «On the Approval of the Procedure for Conducting a Preventive Medical Examination». Accessed 01.08.18. (In Russ.) https://org.ru/2013/01/23/medosmotr-dok.html
  11. The epidemiological situation of tuberculosis in Russia. Anti-tuberculosis measures. CNIIOZ 2016. Accessed 18.07.18. (In Russ.) http://цнииоиз.рф/images/stories/files/CMT/2016tb.pdf
  12. Ionizing radiation. Radiation safety. Filling of forms of federal state statistical supervision No. 3-doses. Metodicheskie rekomendacii po obespecheniyu radiacionnoj bezopasnosti. Rospotrebnadzor. M. 2007;23. Accessed 12.07.18. (In Russ.) http://medradiology.moscow/d/1364488/d/oformleniye_otcheta_3-doz.pdf
  13. Stulin ID, Sadikov PV, Varshavskij YuV, et al. Revealing of carotids atherosclerosis with calcification at mass digital X-ray of a thorax. Radiologiya — praktika. 2010;1:6-19. (In Russ.)
  14. Friedlander AH, Lande A. Panoramic radiographic identification of carotid arterial plaques. Oral Surg Oral Med Oral Pathol. 1981;52:102-104. https://doi.org/10.1016/0030-4220(81)90181-x
  15. Friedlander AH, Baker JD. Panoramic radiography: an aid in detecting patients at risk of cerebrovascular accident. J Am Dent Assoc. 1994;125:1598-1603.
  16. Friedlander AH, Cohen SN. Panoramic radiographic atheromas portend adverse vascular events. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007;103:830-835. https://doi.org/10.1016/j.tripleo.2006.07.016
  17. Johansson E, Ahlqvist J, Garoff M, et al. Carotid calcifications on panoramic radiographs: A 5-year follow-up study. Oral Surg Oral Med Oral Pathol Oral Radiol. 2015;120:513-520. https://doi.org/10.1016/j.oooo.2015.06.026
  18. Griniatsos J, Damaskos S, Tsekouras N, et al. Correlation of calcified carotid plaques detected by panoramic radiograph with risk factors for stroke development. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009;108:600-603. https://doi.org/10.1016/j.tripleo.2009.03.041
  19. Monteiro IA, Ibrahim C, Albuquerque R, et al. Assessment of carotid calcifications on digital panoramic radiographs: Retrospective analysis and review of the literature. Stomatol Oral Maxillofac Surg. 2018;119:102-106. https://doi.org/10.1016/j.jormas.2017.11.009
  20. Gustafsson N, Ahlqvist JB, Näslund U, et al. Calcified carotid artery atheromas in panoramic radiographs are associated with a first myocardial infarction: a case-control study. Oral Surg Oral Med Oral Pathol Oral Radiol. 2018;125(2):199-204. https://doi.org/10.1016/j.oooo.2017.10.009
  21. Ertas ET, Sisman Y. Detection of incidental carotid artery calcifications during dental examinations: panoramic radiography as an important aid in dentistry. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011;112: e11-e17. https://doi.org/10.1016/j.tripleo.2011.02.048
  22. Kumagai M, Yamagishi T, Fukui N, Chiba M. Carotid artery calcification seen on panoramic dental radiographs in the Asian population in Japan. Dentomaxillofac Radiol. 2007;36:92-96. https://doi.org/10.1259/dmfr/79378783
  23. Pornprasertsuk-Damrongsri S, Thanakun S. Carotid artery calcification detected on panoramic radiographs in a group of Thai population. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006;101:110-115. https://doi.org/10.1016/j.tripleo.2005.04.002
  24. Johansson EP, Ahlqvist J, Garoff M, et al. Ultrasound screening for asymptomatic carotid stenosis in subjects with calcification in the area of the carotid arteries on panoramic radiographs: a cross-sectional study. BMC Cardiovasc Disord. 2011;11:44. https://doi.org/10.1186/1471-2261-11-44
  25. Barona-Dorado C, Gutierrez-Bonet C, Leco-Berrocal I, et al. Relation between diagnosis of atheromatous plaque from orthopantomographs and cardiovascular risk factors. A study of cases and control subjects. Med Oral Patol Oral Cir Bucal. 2016 Jan;21(1):e66-e71. https://doi.org/10.4317/medoral.20183
  26. Ohba T, Takata Y, Ansai T, et al. Evaluation of calcified carotid artery atheromas detected by panoramic radiograph among 80-years-olds. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2003;96:647-650. https://doi.org/10.1016/S1079210403004761
  27. Tamura T, Inui M, Nakase M, et al. Clinicostatistical study of carotid calcification on panoramic radiographs. Oral Dis. 2005;11:314-317. https://doi.org/10.1111/j.1601-0825.2005.01125.x
  28. Imanimoghaddam M, Rah Rooh M, Mahmoudi Hashemi E, Javadzade Blouri A. Doppler sonography confirmation in patients showing calcified carotid artery atheroma in panoramic radiography and evaluation of related risk factors. J Dent Res Dent Clin Dent Prospects. 2012;6:6-11. https://doi.org/10.5681/joddd.2012.002
  29. Garay I, Duque Netto H, Olate S. Soft tissue calcified in mandibular angle area observed by means of panoramic radiography. Int J Clin Exp Med. 2014;7:51-56.
  30. Patil SR. Prevalence of carotid artery calcification in postmenopausal women and its correlation with atherogenic risk factors. J Nat Sci Biol Med. 2015 Aug;6(Suppl 1):S1-S6. https://doi.org/10.4103/0976-9668.166048
  31. Jéssica Rodrigues da Silva Noll Gonçalves, Juliana Laís Yoshie Yamada, Berrocal C, et al. Prevalence of Pathologic Findings in Panoramic Radiographs: Calcified Carotid Artery Atheroma. Acta Stomatol Croat. 2016 Sep; 50(3):230-234. https://doi.org/10.15644/asc50/3/5
  32. Maia PRL, Medeiros AMC, Pereira HSG, et al. Presence and associated factors of carotid artery calcification detected by digital panoramic radiography in patients with chronic kidney disease undergoing hemodialysis. Oral Surg Oral Med Oral Pathol Oral Radiol. 2018;pii:S2212-S4403(18) 30903-9. https://doi.org/10.1016/j.oooo.2018.04.005
  33. Ardakani FE, Ardakani MA, Mohammadi Z, Sheikhha MH. Evaluating calcified carotid artery atheromas in panoramic radiographs of patients with type 2 diabetes mellitus. Oral Radiol. 2007;23:6-9. https://doi.org/10.1007/s11282-007-0057-z
  34. Nasseh I, Aoun G. Carotid artery calcification: a digital panoramic-based study. Diseases. 2018;6(1):pii: E15. https://doi.org/10.3390/diseases6010015
  35. Cohen SN, Friedlander AH, Jolly DA, Date L. Carotid calcification on panoramic radiographs: an important marker for vascular risk. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002;94:510-514. https://doi.org/10.1067/moe.2002.125580
  36. Lee JS, Kim OS, Chung HJ, et al. The prevalence and correlation of carotid artery calcification on panoramic radiographs and peripheral arterial disease in a population from the Republic of Korea: the Dong-gu study. Dentomaxillofac Radiol. 2013;42:29725099. https://doi.org/10.1259/dmfr/29725099
  37. Brand HS, Mekenkamp WC, Baart JA. Prevalence of carotid artery calcification on panoramic radiographs. Ned Tijdschr Tandheelkd. 2009;116:69-73.
  38. Sung EC, Friedlander AH, Kobashigawa JA. The prevalence of calcified carotid atheromas on the panoramic radiographs of patients with dilated cardiomyopathy. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004;97:404-407. https://doi.org/10.1016/S1079210403005341
  39. Üstün I, Inci M, Demirtaş A, et al. Prevalence of carotid artery calcification on panoramic radiographs in patients with renal stones. Turkish J Med Sci. 2013;43:706-710. https://doi.org/10.3906/sag-1210-14
  40. Khosropanah SH, Shahidi SH, Bronoosh P, Rasekhi A. Evaluation of carotid calcification detected using panoramic radiography and carotid Doppler sonography in patients with and without coronary artery disease. Br Dent J. 2009;207:E8. https://doi.org/10.1038/sj.bdj.2009.762
  41. Damaskos S, Griniatsos J, Tsekouras N, et al. Reliability of panoramic radiography for carotid atheroma detection: a study in patients who fulfill the criteria for carotid endarterectomy. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008;106:736-742. https://doi.org/10.1016/j.tripleo.2008.03.039
  42. Bastos JS, Abreu TQ, de Brito Filho SB, et al. Sensitivity and accuracy of panoramic radiography in identifying calcified carotid atheroma plaques. Braz J Oral Sci. 2012;11:88-93. Accessed 18.07.18. https://www.fop.unicamp.br/bjos/index.php/bjos/article/view/526
  43. Yoon SJ, Yoon W, Kim OS, et al. Diagnostic accuracy of panoramic radiography in the detection of calcified carotid artery. Dentomaxillofac Radiol. 2008;37:104-108. https://doi.org/10.1259/dmfr/86909790
  44. Garoff M, Ahlqvist J, Levring Jaghagen E, et al. Carotid calcification in panoramic radiographs: radiographic appearance and the degree of carotid stenosis. Dentomaxillofacial Radiology. 2016;45:20160147. https://doi.org/10.1259/dmfr.20160147
  45. Alman AC, Johnson LR, Calverley DC, et al. Validation of a method for quantifying carotid artery calcification from panoramic radiographs. Oral Surg Oral Med Oral Pathol Oral Radiol. 2013;116:518-524. https://doi.org/10.1016/j.oooo.2013.06.026
  46. Holland WW, Stewart S, Masseria C. Screening in Europe. Fundamentals of politics. 2008. http://www.euro.who.int/__data/assets/pdf_file/0008/108962/E88698R.pdf
  47. Dyakova M, Shantikumar S, Colquitt JL, et al. Systematic versus opportunistic risk assessment for the primary prevention of cardiovascular disease. Cochrane Database Syst Rev. 2016;(1):CD010411. https://doi.org/10.1002/14651858.CD010411.pub2
  48. Prikaz Ministerstva zdravoohraneniya Rossijskoj Federacii № 1344n ot 21.12.12 «On the Approval of the Procedure for Conducting Clinical Supervision». Accessed 21.12.12. (In Russ.) https://www.gnicpm.ru/UserFiles/Prikaz-_1344n-ot-21.12.2012-g.pdf
Contact the author
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.

Email Confirmation

An email was sent to test@gmail.com with a confirmation link. Follow the link from the letter to complete the registration on the site.

Email Confirmation

Contact us
If you have any questions, complaints or suggestions, please use this feedback form.
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.
Submit Application

You can become an author of one of our magazines, send a request and we will consider it in during the day.

Name
Phone
E-mail
Message
Login
Registration
E-mail
Password
Forgot Password?

Log in to the site using your account in one of the services

Password recovery
E-mail
Login
Register

We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.