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Doctor insights on: Calcified Plaque In The Carotid Artery

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Can you explain results of left carotid artery is 194cm with plaque visual what should be done?

Can you explain results of left carotid artery is 194cm with plaque visual what should be done?

194 cm???: There are a number of different criteria for determining how much narrowing is in the carotid artery based on what velocities are measured. A single value would be difficult to convert to a degree of stenosis. In general the higher the velocity the greater the narrowing. A peak systolic velocity, an end diastolic velocity and a ratio between internal and common carotid velocities are needed. ...Read more

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Dr. Aaron Milstone
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Dr. Brad Goldenberg
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Artery (Definition)

Arteries are a type of blood vessels. We can divide blood vessels into 2 categories. Arteries are high pressure vessels which deliver (red) oxygen + blood out into the body. Veins on the other hand or low pressure vessels which return (dark) oxygent - blood from the body ...Read more


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Can kids have plaque in their carotid arteries if our family has familial hypercholesterolemia?

Can kids have plaque in their carotid arteries if our family has familial hypercholesterolemia?

Yes: It is entirely possible to form plaque very early in life. Even persons without familial hypercholesterolemia form plaque in their aorta in their 20's as evidenced by autopsy series. ...Read more

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Dr. Aaron Milstone
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Mild diffuse atherosclerotic plaques are seen w in internal carotid arteries. No hemodynamically significant carotid stenosis per ratio criteria?

Mild diffuse atherosclerotic plaques are seen w in internal carotid arteries. No hemodynamically significant carotid stenosis per ratio criteria?

Focus on risks: Mild and diffuse atherosclerosis at age 46 implies a need to focus on risk factor modification to achieve primary prevention of stroke and enhance vascular protection. Optimize lipids, avoid smoking, cand control sugar and BP issues. ...Read more

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Can 30% plaque in your carotid artery cause pain in the carotid/neck area?

Can 30% plaque in your carotid artery cause pain in the carotid/neck area?

Not a sign of plaque: 30% block in your carotid artery will not cause pain in your neck area.It is an indicator that it can compromise the blood flow to the brain if gets worse.One has to control the LDL levels in blood and bring it down with statins and diet.If it it prgresses to 60% or more, than you will need endarterectomy and reduce the chances of it leading to stroke. ...Read more

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What will drs do about a minor plaque buildup in carotid artery?

What will drs do about a minor plaque buildup in carotid artery?

Degree: As we age some plaque is common. The degree of narrowing is followed by duplex ultrasound and if progressive, tight, or symptoms develop, intervention or surgery may be recommended. At your age, stop smoking, control blood pressure and cholesterol and have vascular followup. ...Read more

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Dr. Aaron Milstone
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77yrs. CABG-'98, EF-LV 52%, Mild COPD-'12. Treatment/stable. HDL/LDL, BP, SpO2 normal. Carotid doppler-hemdynamically signifc calcific plaque, 75% ?

77yrs. CABG-'98, EF-LV 52%, Mild COPD-'12. Treatment/stable. HDL/LDL, BP, SpO2   normal. Carotid doppler-hemdynamically signifc calcific plaque, 75% ?

Stroke history?: Hi. I assume you've not had a stroke or TIA; please clarify if you have. That's what you want to prevent. Regardless of your LDL and HDL, you should be on a high dose statin. Regardless of your BP, you should be on an ACE inhibitor. You should be on some anti-platelet agent (e.g., clopidogrel). You should absolutely NOT smoke (I trust you've quit!). Good luck! ...Read more

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I was told i have small hemogen plaques in my carotid. Im 41. What age do plaques begin to show up in arteries.?

I was told i have small hemogen plaques in my carotid. Im 41. What age do plaques begin to show up in arteries.?

Lifestyle choices: Plaques form in the carotid in the following manner. Fatty streaks appear, followed by formation of atherosclerosis (Cholesterol plaques). These plaques can then rupture leading to stroke and other disease. Fatty streaks have been routinely found in the autopsies of young soldiers, plaques later. To slow progression you should watch your BP, stay active, and have your cholesterol checked. ...Read more

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If I have negligible plaque in the carotid and peripheral arteries, do I need to get a carotid ultrasound?

If I have negligible plaque in the carotid and peripheral arteries, do I need to get a carotid ultrasound?

???: I am confused. How do you already know you have neglible carotid plaque without an ultrasound? Was it by ct angio? If there is reason for concern, bruit, stroke sx, it may still be of benefit. ...Read more

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Carotid Arteries (Definition)

The carotid arteries start in the chest and progress up the sides of the neck. About mid neck they split and one branch supplies blood to the face the, the other continues without branches into the skull and supplies ...Read more


Plaque (Definition)

A plaque is a broad, raised area on the skin. For example, patients with psoriasis have a lot of scaly plaques on their ...Read more


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