Doctor insights on:
Calcified Plaque In The Carotid Artery
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
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
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 moreSee 1 more doctor answer
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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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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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