Doctor insights on:
Calcified Plaque In The Carotid Artery
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
Arteries are defined as blood vessels which carry blood away from the heart (to either the body or lungs). Arteries: higher pressure, thicker walls, stretch (pulse) with each heart contraction & deliver blood to the arterioles which control the flow to individual capillaries. Veins are blood vessels which carry blood from capillaries back to the heart (body to right heart; ...Read more
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
Mild diffuse atherosclerotic plaques are seen w in internal carotid arteries. No hemodynamically significant carotid stenosis per ratio criteria?
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
Presence vs effect: Calcified plaque occurs when the cholesterol buildup of your arteries becomes calcified, a natural process. Treatment occurs when the narrowing either results in or is likely to result in problems like chest pains or a heart attack. It is impossible to treat widespread disease but for specific areas of narrowing or blockage, balloons, lasers, and other treatments are used. ...Read more
If I have negligible plaque in the carotid and peripheral arteries, do I need to get a carotid ultrasound?
I was told I have small hemogen plaques in my carotid. I'm 41. What age do plaques begin to show up in arteries.?
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
Negligible plaque in the carotid and peripheral arteries, can I assume that it's the same for coronary artery?
PROBABLY AT YOUR AGE: Atherosclerosis is a systemic disease and affects vasculature all over our bodies. If non-invasive testing shows minimal plaque, AND MOST IMPORTANTLy, if you have no symptoms of chest pain/pressure, then probably you have no CAD and/or significant plaque in coronaries. ALSO this holds if you are not diabetic. As a young person, most imp, check your lipids, address them if abnl, and healthy lifesty ...Read more
"For patients with a narrowing of an artery between 50% and 99%, it is recommended that surgery to remove the plaque carotid endarterectomy, " True?
Complex: There is recent data suggesting that medication management may be as successful as surgery in stroke prevention, and there is another surgical intervention called stenting. Since patients vary and may do best with different approaches, get a few opinions prior to deciding the ultimate l pathway. ...Read more
"No evidence of calcified plaques in coronary arteries or thoracic aorta. Therefore, calcium score is 0."T.chol150, gluc84.What's risk of MI in future?
CT CA score: Very low risk of CAD. Why was it done? ...Read more
"No evidence of calcified plaques in coronary arteries or thoracic aorta. Therefore, the calcium score is 0."How reliable is 0 CT score in predictin MI?
Need risk factors.: While a high coronary calcium score (CCS) is helpful (in the sense that it virtually guarantees that you have heart disease & need treatment), a low CCS isn't very helpful. It's better for you to decide based on traditional risk factors: age, diabetes, high blood pressure, cholesterol, family history, etc. At your age, even a CCS of 0 can be a false negative. TTYD or use HealthTap Prime to discuss ...Read more
Carotid doppler test found a calcified plaque of 3.5mm x 2.5mm in left bulb. All else normal. I am 46yrs male. Very worried. How big is this blockage?
Incomplete data: It is not necessarily the size of plaque, but the degree of obstruction it represents, the composition of the plaque (not just calcification) & even more important, the stability of the plaque surface itself. All of these are amenable to lifestyle & pharmacologic intervention, so risk factor assessment & management are critical to the assessment & management of your plaque. Talk to your doctor! ...Read more
Patient with TIA history, what does it mean to have a small calcified plaque is present in right carotid bulb, however, without causing significant ar?
Talk to a surgeon: You are right to associate the calcified plaque with the TIA -- and this is certainly possible. However just because it is there, doesn't mean it is causing the symptoms. What a surgeon would want to know is how narrow is the blockage, and are the symptoms potentially caused by it. You should talk to an experienced vascular surgeon. ...Read more
Here is the general information for reversing the plaque
1 Life style changes are most important it includes healthy diet, physical activities&exercise, if over weight loose weight and quit smoking if you do
2Medications like statins to lower your cholesterol
3 If significant plaque obstructing 50% or more may need
Angioplasty and Stents to prevent stroke
depends on % of block ...Read more
Exceedingly unlikely: The chances of this happening are extremely remote. Having said that we are always extremely cautious in examining patients with carotid artery atherosclerosis. I have personally witnessed at least one patient getting a stroke after a carotid artery examination--fortunately he recovered. So it is theoretically possible to get a stroke large enough to cause death, but the odds are extremely small. ...Read more
Death: You don't need a physician to explain that this leads pretty quickly to death. ...Read more
Sometimes...: A dilated or aneursymal carotid on ultrasound is simply what we call a "redundant" carotid, meaning it is long and wraps on itself, so it looks bigger on ultrasound. True enlarged carotid arteries should be evaluated by a vascular surgeon. ...Read more
Signs of Carotid Artery Stenosis are Bruit, TIA or Stroke.
The symptoms of a TiA may include sudden weakness or numbness in the face or limbs, often on just one side of the body, inability to move one or more of your limbs, trouble speaking or understanding speech, sudden trouble seeing in one or both eyes,
dizziness or loss of balance, sudden, severe headache with no known cause. ...Read more
Carotid artery stenosis means that the carotid arteries have blockage, usually in the form of atherosclerosis. This can cause stroke. The more severe the blockage, the greater the risk
in the absence of neurological symptoms, most cases can be handled with medicine and close periodic follow up by a vascular surgeon. However, if the blockage is more than 80%, surgery will reduce the stroke risk. ...Read more
Elderly Hypertensive: Carotid stenosis usually occurs secondary to longstanding atherosclerosis. Risk factors include high blood pressure, diabetes, and coronary artery disease. It takes time for atherosclerotic plaques to develop, so most patients with carotid artery stenosis are older adults. ...Read more
Procedure: Performed from a small puncture into the artery in your groin area. A catheter is inserted and is used to evaluate the stenosis. A protection device is then inserted through the blockage and deployed. A suitable stent is inserted and deployed. A balloon opens stent to final diameter. Completion images are taken. Protection device retrieved. Catheters removed. See sirweb. Org. ...Read more
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