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Conventional cardiovascular risk factors have been used to identify subgroups at increased risk of cardiovascular events. The British Regional Heart Study Score (BRHSS) using such risk factors at best identifies only 59% of individuals that develop coronary heart disease (CHD) in the subsequent 5 years. To identify a high risk subgroup in the BRHS a new approach has been the use of ultrasound to study arterial wall thickening, presence or absence of plaques and plaque type, to try and increase the predictive value of the BRHS Score.

Cardiovascular risk assessment using ultrasound: the value of arterial wall changes including the presence, severity and character of plaques