Neck Ultrasound May Offer Early Insight Into Heart Failure Risk

NIHR-supported research suggests a quick neck ultrasound could help identify people at higher risk of developing heart failure. The 15–30 minute scan measures how flexible the carotid arteries are by using a handheld device to track how they expand with each heartbeat.

In a study of more than 1,600 men aged 71–92, those with the least flexible arteries had a 2.5-fold higher likelihood of developing heart failure compared with men whose arteries were most elastic. This link remained strong even after accounting for age, weight, smoking history and previous heart attacks. Reduced arterial flexibility can contribute to high blood pressure, which over time strains the heart.

Researchers, led by University College London and funded by the NIHR and British Heart Foundation, say the test is safe and inexpensive, and could help GPs guide older adults toward lifestyle changes or medications. Further research is needed to confirm results in women.

01-12-2025