Circulation versus sábios locais.

ACCF/AHA Practice Guideline

2010 ACCF/AHA Guideline for Assessment of Cardiovascular Risk in Asymptomatic Adults: Executive Summary

A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines

Circulation. 2010;122:2748-2764

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Recommendation for Measurement of Carotid Intima-Media Thickness
Class IIa
1. Measurement of carotid artery intima-media thickness is reasonable for cardiovascular risk assessment in asymptomatic adults at intermediate risk.
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Recommendations for Measurement of C-Reactive Protein
Class IIa
1. In men 50 years of age or older or women 60 years of age or older with low-density lipoprotein cholesterol less than 130 mg/dL; not on lipid-lowering, hormone replacement, or immunosuppressanttherapy; without clinical CHD, diabetes, chronic kidney disease, severe inflammatory conditions, or contraindications to statins, measurement of CRP can be useful in the selection of patients for statin therapy
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Recommendation for Coronary Computed Tomography Angiography
Class III: No Benefit
1. Coronary computed tomography angiography is not recommended for cardiovascular risk assessment in asymptomatic adults.
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Recommendation for Magnetic Resonance Imaging of Plaque
Class III: No Benefit
1. Magnetic resonance imaging for detection of vascular plaque is not recommended for cardiovascular risk assessment in asymptomatic adults. 
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Em tempos de Europa em crise e EUA em depressão, vale a pena seguir uma diretriz desses centros?
Ou deveríamos fazer nossas próprias e dar um basta na dominação?
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Bem, a medicina não está em crise no mundo. Todos as diretrizes usam estudos relevantes realizados em qualquer parte do globo, desde que de qualidade.
O que é bom para o homem, está escrito em uma linguagem universal.
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