- Overview
- Conditions
- Treatments & Services
- Physicians
The carotid artery, which on either side of the neck is the route that takes blood from the heart to the brain. With the growth of age, risk factors such as hypertension, hyperlipidemia, hyperglycemia, high homocysteine , obesity, smoking, family history of early heart disease, lack of exercise, unhealthy diet and so on, the endothelium of blood vessels is damaged and the intima thickens, and cholesterol and lipid accumulate more and more on the inner wall of blood vessels.
The occurrence and development of typical atherosclerotic lesions go through four stages: the first is the fatty streaks stage, which is the early lesions of atherosclerosis. The second is the fibrous plaque stage, the fatty streaks further develop and evolve into fibrous plaques. The third is the stage of atheromatous plaque formation, in which the surface of the intima of the artery is marked with elevated gray-yellow plaques. The fourth is the stage of secondary lesions, including plaque hemorrhage, plaque rupture, thrombosis, calcification, aneurysm formation.
Carotid atherosclerosis has become a global disease, with nearly 2 billion people worldwide in 2020, 270 million of whom are Chinese. The detection rate is more than 40% in people over 40 years of age. The detection rate of carotid plaque in people over 45 years old who are diagnosed with stroke or TIA was close to 80%.In recent years, with the popularity of physical examination, some people have been detected with carotid atherosclerotic plaque, but because they feel no discomfort, they no longer care about it. This is unscientific.
The carotid atherosclerosis will gradually get worse. Mild carotid atherosclerosis usually causes no symptoms until arteries become narrowed or blocked, resulting in insufficient blood supply to organs and tissues.
When carotid atherosclerotic lesions occurred, will cause the luminal stenosis, even blocking or broken, so that the sharp decline in brain perfusion, luminal stenosis and plaques and thrombosis is easy to fall off, after falling off the line with blood into the brain blood vessels, leading to ischemic cerebrovascular disease and even permanent disability.
Therefore, carotid atherosclerosis can be divided into two categories: symptomatic and asymptomatic according to whether there are related symptoms of cerebral ischemia:
1. Symptomatic
(1) Transient ischemic attack (TIA) can be characterized by transient unilateral limb sensory and motor disturbances, blindness in one eye or aphasia, etc., which generally lasts only a few minutes and fully recovers within 24 hours after onset. There were no positive signs on physical examination and no focal lesions on imaging examination after the attack.
(2) The common clinical symptoms of ischemic stroke include sensory and/or motor impairment of one side of the limb, aphasia, and coma in severe cases. Physical examination may show neurological locational signs, and imaging examination may show focal lesions.
2. Asymptomatic
Many patients with carotid atherosclerotic disease have no neurological symptoms or only nonspecific symptoms, such as dizziness, headache and syncope.
So, how to evaluate which carotid atherosclerosis and plaque needs treatment, and how to prevent and treat it correctly? The Department of Neurology of JIH has set up a "carotid atherosclerosis and plaque clinic", which is referred to as "carotid plaque clinic".We will collect the patient's medical history, conduct neurological physical examination, and select laboratory examination and imaging examination (cervical vascular ultrasound, CT/CTA, MRI/MRA, HRVW-MRI, TCD foaming test, etc.) for the specific situation of each patient. To screen high-risk factors of atherosclerosis, assess the severity, and formulate individualized, accurate and effective treatment plans to protect the cerebrovascular health of patients.
Languages
Location
DoctorsCHEN Yan, MD，PhD
Read MoreDepartment:NeurologyCognitive impairmentParkinson's disease and movement disordersHeadache ClinicNeurologyCarotid atherosclerosis and plaque clinicEpilepsy clinicNeuroimmune disease ClinicLocation:Jiahui International Hospital (Shanghai)Languages:普通话, EnglishDoctor's bioDr. CHEN Yan now serves as the Acting Chief of Neurology at Jiahui International Hospital. In 2007, Dr. Chen acquired Doctor’s Degree of Clinical Medicine from the Capital Medical University. From 2014 to 2019, she went to Europe and the United States for five times to get further study of the green channel of cerebrovascular, the diagnosis procedure and treatment of Parkinson's disease and MRI degenerative relevant disease. Before joining Jiahui, Dr. Chen had worked in 3A public hospitals for 20 years and served as the ward director of Neurology for 11 years. Dr. Chen has been mainly engaged in the clinical and research work of neurodegenerative and cerebrovascular diseases. She is experienced in the diagnosis and treatment of Parkinson's disease, movement disorders and cognitive disorders, as well as the diagnosis, treatment and prevention of cerebrovascular diseases, headache, dizziness and other common diseases in neurology.
Dr. Chen has published 17 articles including 5 SCI, participated in the formulation of 4 expert consensus; edited in chief/participant in 5 books; got approved of 3 patent; and won 4 science and technology progress awards at the Municipal/Bureau level.
Dr. Chen's main academic posts are as follows:
●Member of Sleep Disorders Professional group, Neurology Branch, Chinese Medical Association
●Member of Parkinson's disease and Movement Disorder group, Branch of neurologist, Chinese Medical Doctor Association
●Member of Youth Committee of neuromodulation Professional Committee of Chinese Medical Association
●Online Medical Consultant of Futurecare Inc. (New York)
●Former Member of Chronic Disease Prevention and Control Branch of Chinese Preventive Medicine Association
License no. :110370000044362
DUAN Hao, MD，PhD
Read MoreDepartment:NeurologySleep Medicine ClinicCerebrovascular Diseases ClinicCognitive impairmentHeadache ClinicNeurologyGeneral Internal MedicineCarotid atherosclerosis and plaque clinicEpilepsy clinicNeuroimmune disease ClinicLocation:Jiahui International Hospital (Shanghai)Languages:普通话, EnglishDoctor's bioDr. DUAN Hao now serves as a neurologist at Jiahui Health. She obtained master degree of Neurology from Shanghai Jiao Tong University School of Medicine in 2004, and received a doctoral degree of medical sciences (MD) from Soochow University in 2019.
Prior to joining Jiahui, she worked in Neurology department of Shanghai Sixth People's hospital for more than 20 years and was appointed as the associate professor of Neurology.
Dr. Duan is experienced in medical diagnosis and treatment of the following diseases and health problems:
•Cerebrovascular disease, such as cerebral infarction, intracerebral hemorrhage and subarachnoid hemorrhage;
•Intravenous thrombolysis in early stage of acute cerebral infarction；
•Dizziness, headache, insomnia;
•Cognitive impairment, such as Alzheimer’s disease, vascular cognitive impairment;
•Epilepsy, Parkinson’s disease, diabetic polyneuropathy and other common disease in neurology.License no. :110310000026834
Jeffrey LI, MD
Read MoreDepartment:General Internal MedicineNeurologySleep Medicine ClinicHeadache ClinicVertigo ClinicAdult Fever consultationNeurologyGeneral Internal MedicineCarotid atherosclerosis and plaque clinicEpilepsy clinicNeuroimmune disease ClinicLocation:Jiahui International Hospital (Shanghai)Jiahui Health (Shanghai Yangpu)Languages:普通话, EnglishDoctor's bioDr. Jeffrey LI is the attending physician of the Internal Medicine Department at Jiahui Health. Dr. Li obtained his Master Degree in clinical medicine from the Second Military Medical University of Shanghai. He completed his residency in internal medicine and neurology at Shanghai Changzheng Hospital. Prior to joining Jiahui, Dr. Li worked in the neurology department of Shanghai Changzheng Hospital and Tongji Hospital affiliated to Shanghai Tongji University. For the good performance he graduated early from the Renji-Jiahui Hospitalist and Nursing Residents Training Program. Dr. Li has a rich experience in internal medicine, with particular expertise in the diagnosis and treatment of vertigo, headaches, and prevention and treatment of cerebrovascular disease.
He has the teaching experience for clinical medicine students and the residents in the standardized training program. He is currently a youth committee member of the Vestibular Disorders Committee of China Medicine Education Association.
License no. :110310000048573
WEI Meng, MD, PhD
Read MoreDepartment:CardiologyCarotid atherosclerosis and plaque clinicLocation:Jiahui International Hospital (Shanghai)Languages:普通话, EnglishDoctor's bioDr. WEI Meng serves as the Chief of Internal Medicine, Chief of Cardiac Center at the Shanghai Jiahui International Hospital. Dr. Wei received his bachelor’s degree in Clinical Medicine from Shihezi University School of Medicine in 1982 and his PhD degree from Shanghai Medical College (now known as Shanghai Medical College of Fudan University) in 1991. Then he went for further study of interventional cardiology in the United States and Germany in 1995 and 1997. Prior to joining Jiahui Health, Dr. Wei was the Chief of Cardiology Center and Chief of Cardiology Department at a Class A tertiary hospital and received a special government allowance. Dr. Wei’s clinical practice and research mainly focuses on coronary heart disease and interventional heart disease, especially the diagnosis and treatment of coronary heart disease and heart failure, and the interventional diagnosis and treatment of heart diseases.
Dr. Wei is an expert committee member of Chinese Society of Cardiology of Chinese Medical Association, an academic member of Chinese Medical Association heart intervention training center, the vice chair of the cardiovascular disease branch of Shanghai Medical Association, as well as a Fellow of the American College of Cardiology (FACC), a Fellow of the American College of Chest Physicians (FCCP) and a Fellow of the European Society of Cardiology (FESC). He also serves as a special editorial board member of the Chinese Journal of Cardiology, and editorial board member of Journal of Clinical Cardiology, Journal of Interventional Radiology, International Journal of Cardiovascular Diseases, Chest (Chinese version), Journal of the American College of Cardiology (JACC) (Chinese version), and Chinese Journal of Multi-Organ Diseases in the Elderly. Dr. Wei has won a second prize for scientific and technological progress given by China’s Ministry of Education, a third prize for Shanghai medical achievements, and a Second Prize for the State Scientific and Technological Progress Award. In 2017, he was awarded the outstanding contribution award for cardiovascular diseases by the Chinese Medical Association.License no. :110310000024878
LIU Rong, MD
Read MoreDepartment:CardiologyGeneral Internal MedicineCarotid atherosclerosis and plaque clinicLocation:Jiahui International Hospital (Shanghai)Languages:普通话, EnglishDoctor's bioDr. LIU Rong currently serves as an associate chief cardiologist at Jiahui Health Cardiac Center. Dr. LIU obtained her bachelor’s degree in clinical medicine from Shanxi Medical University in 2001. Later in 2005, she got a master’s degree in cardiology from Tongji University School of Medicine. She was once a visiting scholar at Wake Forest Baptist Medical Center for one year. Prior to joining Jiahui Health, Dr. LIU worked as an attending physician in the Department of Cardiology at Shanghai Sixth People’s Hospital affiliated to Shanghai Jiao Tong University. Dr. LIU is an expert in diagnosis and treatment of cardiac conditions and diseases, such as hypertension, heart failure, arrhythmia, hyperlipidemia, cardiomyopathy and so on. She is also experienced in diagnosing coronary heart disease (CHD) by using non-traumatic and interventional procedures, especially good at using medicine and interventional procedures to treat CHD.
FEI Minzhong, MD
Read MoreDepartment:CardiologyCardiovascular Implantable Electronic Device Clinic (Pacemaker)General Internal MedicineCarotid atherosclerosis and plaque clinicLocation:Jiahui International Hospital (Shanghai)Languages:普通话, EnglishDoctor's bioDr. FEI Minzhong served as an associate chief cardiologist at Jiahui Health Cardiac Center. Dr. Fei obtained his Medicial Degree from Shanghai Second Medical University in 2004. Prior to joining Jiahui, Dr. Fei worked in Songjiang District Central Hospital from 2004 to 2019 and in Zhongshan Hospital affiliated to Fudan University, Qingpu Branch from 2019 to 2020. He was pointed as the attending physician of Internal Medicine in 2011. Dr. Fei has attended trainings on coronary artery intervention from 2013 to 2014 and eletrophysiolopy Study & arrhymia intervention from 2018 to 2019 in Shanghai Sixth People’ s Hospital.
Dr. FEI is experienced in medical diagnosis and treatment of the following diseases and health problems: Common diseases of internal medicine, such as hypertension, dyslipidemia, diabetes mellitus, Acute and chronic heart failure, Cardiomyopathy, Arrhythmia, Coronary heart disease. Meanwhile, Dr. Fei is skilled in coronary artery angiography (CAG), percutaneous coronary intervention(PCI)，pacemaker, electro- physiologic study (EPS), radiofrequency ablation (RFA), atrial septal puncture etc.HE Yaping, MD, PhD
Read MoreDepartment:CardiologyCardiac Rehabilitation ClinicGeneral Internal MedicineCarotid atherosclerosis and plaque clinicLocation:Jiahui International Hospital (Shanghai)Languages:普通话, EnglishDoctor's bioDr. HE Yaping currently serves as an associate chief cardiologist in Jiahui Health. Dr. He obtained her bachelor’s degree in clinical medicine from Sun Yat-Sen Medical University in 2001. Later in 2007, she got a doctor’s degree in cardiology from Shanghai Jiaotong University School of Medicine. She was once a visiting scholar at Murdoch Children’s Research Institute Heart Group in Australia for two years. Prior to joining Jiahui Health, Dr. He worked in the Department of Cardiology at Shanghai Sixth People’s Hospital affiliated to Shanghai Jiao Tong University and Deltahealth Hospital. Dr. He is experienced in diagnosis and treatment of cardiovascular diseases such as hypertension, hyperlipidemia, heart failure, arrythmia, coronary heart disease (CHD) and so on. Dr. He is also an expert in cardiovascular related rehabilitation and chronic disease management, especially focused on individualized exercise prescriptions, providing guidance on daily physical activities and exercises.
License no. :110310000032838
Emma SUN, MD, PhD
Read MoreDepartment:CardiologyGeneral Internal MedicineCarotid atherosclerosis and plaque clinicLocation:Jiahui International Hospital (Shanghai)Languages:普通话, EnglishDoctor's bioDr. Emma SUN currently serves as a cardiologist in Jiahui Health. Dr. Sun obtained her bachelor’s degree in clinical medicine from Shanghai Jiao Tong University in 2013. Then during 2013-2018, she continued to study for doctor degree in cardiology in Shanghai Jiao Tong University. She was once a visiting scholar at Newark Beth Israel Medical Center for advanced studies in cardiac imaging and clinical arrangement of transcatheter aortic valve replacement (TAVR). After graduation, Dr. Sun finished her standardized residency training in internal medicine at Shanghai First People’s Hospital during 2018-2019. She passed the national residency examination in 2019 and obtained the certificate. Prior to joining Jiahui Health, Dr. Sun worked as a resident physician and fellowship in the Department of Cardiology at Shanghai Chest Hospital affiliated to Shanghai Jiao Tong University. Dr. Sun is proficient in diagnosis and treatment of cardiac conditions and diseases, such as hypertension, hyperlipidemia, coronary heart disease (CHD), acute/chronic heart failure, pulmonary hypertension, cardiomyopathy and so on.
License no. :110310000061376
