In 2001, Dr. Naghavi, the founder of SHAPE invited cardiology leaders to answer these 10 questions. Now after 15 years it is interesting to review the answers and compare the predictions with the reality. The fact is that very little to no progress has been made for the early detection of vulnerable patients and for the prevention of sudden heart attacks. Preventive cardiology is at least 15 years behind and needs to innovate and move faster!
Q2. Autopsy series and recent IVUS studies indicate that more than 50% of adults have some degree of atherosclerotic plaque, therefore the question is who has vulnerable plaque. Do you agree that we should focus on screening for vulnerable plaque instead of atherosclerosis? Do you think that risk factors of vulnerable plaque might be different from risk factors of atherosclerosis?