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Doctor insights on: Calcified Plaque In The Carotid Artery

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Dr. Creighton Wright
Board Certified, General Surgery
51 years in practice
17M people helped
1

1
What will drs do about a minor plaque buildup in carotid artery?

Dr. Creighton Wright
Board Certified, General Surgery
51 years in practice
17M people helped
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. Umesh Patel
Board Certified
37 years in practice
878K people helped
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Dr. Umesh Patel
Board Certified
37 years in practice
878K people helped
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Dr. Kevin Nolan
Board Certified, Vascular Surgery
30 years in practice
445K people helped
2

2
Can you explain results of left carotid artery is 194cm with plaque visual what should be done?

Dr. Kevin Nolan
Board Certified, Vascular Surgery
30 years in practice
445K people helped
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. Umesh Patel
Board Certified
37 years in practice
878K people helped
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Dr. Umesh Patel
Board Certified
37 years in practice
878K people helped
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Dr. Yash Khanna
Board Certified, Family Medicine
52 years in practice
132M people helped
3

3
Can 30% plaque in your carotid artery cause pain in the carotid/neck area?

Dr. Yash Khanna
Board Certified, Family Medicine
52 years in practice
132M people helped
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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Dr. Shahin Tavackoli
Board Certified, Cardiology
18 years in practice
679K people helped
4

4
Can kids have plaque in their carotid arteries if our family has familial hypercholesterolemia?

Dr. Shahin Tavackoli
Board Certified, Cardiology
18 years in practice
679K people helped
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. Umesh Patel
Board Certified
37 years in practice
878K people helped
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Dr. Steven Ajluni
Board Certified, Cardiology
30 years in practice
1M people helped
5

5
Mild diffuse atherosclerotic plaques are seen w in internal carotid arteries. No hemodynamically significant carotid stenosis per ratio criteria?

Dr. Steven Ajluni
Board Certified, Cardiology
30 years in practice
1M people helped
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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Dr. Christopher Bulger
Board Certified, Vascular Surgery
18 years in practice
68K people helped
6

6
Is there a supplement that could help eliminate moderate plaque blockage in the carotid artery?

Dr. Christopher Bulger
Board Certified, Vascular Surgery
18 years in practice
68K people helped
Is there a supplement that could help eliminate moderate plaque blockage in the carotid artery?

Eliminate, no: However recent study has demonstrated that Niacin my decrease plaque in the artery. ...Read more

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Dr. Thomas Knecht
Board Certified, Endocrinology
26 years in practice
5M people helped
7

7
77yrs. CABG-'98, EF-LV 52%, Mild COPD-'12. Treatment/stable. HDL/LDL, BP, SpO2 normal. Carotid doppler-hemdynamically signifc calcific plaque, 75% ?

Dr. Thomas Knecht
Board Certified, Endocrinology
26 years in practice
5M people helped
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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Dr. Timothy Wu
Board Certified, Vascular Surgery
13 years in practice
360K people helped
8

8
Treatment for bilateral carotid artery calcifications?

Dr. Timothy Wu
Board Certified, Vascular Surgery
13 years in practice
360K people helped
Treatment for bilateral carotid artery calcifications?

None: Calcification of any artery, by itself, does not warrant any type of intervention or follow up. If that calcification is associated with a stenosis ("narrowing") of the artery, then that may require follow up and/or an operation. The carotid arteries are very often calcified and if associated with a high grade stenosis, may portend a higher risk of stroke. Discuss with a vascular surgeon. ...Read more

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Dr. Irv Loh
Board Certified, Cardiology
44 years in practice
714K people helped
9

9
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?

Dr. Irv Loh
Board Certified, Cardiology
44 years in practice
714K people helped
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

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Dr. Robert Rothaar
Board Certified, Pulmonary Critical Care
18 years in practice
4K people helped
10

10
I was told i have small hemogen plaques in my carotid. Im 41. What age do plaques begin to show up in arteries.?

Dr. Robert Rothaar
Board Certified, Pulmonary Critical Care
18 years in practice
4K people helped
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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Dr. Umesh Patel
Board Certified,
37 years in practice
878K people helped
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