Doctor insights on:
Can Carotid Bruits Go Away By Itself
Yes: A carotid bruit is due to turbulent flow from a blockage in the carotid artery. The natural course of carotid disease / atherosclerosis is progression over time. This is especially true if people still smoke. When the blockage in a carotid artery becomes near occlusive, the flow rate drops and the bruit typically goes away. ...Read more
Bruit refers to a sound, heard via a stethoscope, of blood when it flows through a narrowed opening. As blood flows through a narrow diameter within a vessel, the velocity of flow increases and also becomes more turbulent. The importance of this sound is that, if your doctor hears it, it can signify underlying atherosclerosis--i.e. Build-up ...Read more
Bruit yes, block no: 50% of bruits have no stenosis. However you need to be sure you don't have a congenital or aquired condition that could cause it. ...Read more
Yes: Trick question, but here are my thoughts. A carotid bruit is due to a partial obstruction in the carotid artery. A "sub-clinical" lesion may only give rise to a bruit during periods of intense exercise, when cardiac output is high. In the resting state, a bruit may not exist. At any rate, a carotid bruit in any circumstance should be evaluated. ...Read more
Turbulent flow: Think of blood flow like a river. Now dump a bunch of rocks in one spot. This makes for choppy rapids. The bruit is just the sound of the choppy, turbulent blood flow. The concern is that the turbulence may be due to narrowing by plaque, which can lead to stroke. Ultrasound will be able to diagnose. ...Read more
Sound: A carotid bruit indicates turbulent flow in the carotid artery. If a carotid bruit is noted, then a carotid duplex ultrasound would be helpful to determine if there is in fact carotid artery disease. ...Read more
Ultrasound: You need a carotid doppler.Get a more detailed answer ›
Bruit: Sometimes a trivial degree of blockage can lead to a bruit. Sometimes as the blockage gets very severe the bruit, previously heard - disappears so a bruit by itself isn't very helpful or worrisome. If a new bruit is discovered one should simply obtain a carotid duplex scan to determine the true nature of the stenosis if any. ...Read more
Yes get checked out: Symptomatic carotid artery disease places you in a higher risk category for a stroke, and indicates a need for a surgery called a carotid endarterectomy. This involves removal of the plaque buildup in the artery. In conjunction with medications, diet modification, and exercise, the procedure will lower your risk of cerebrovascular events. ...Read more
Have a carotid bruit. Will see cardio. On mon. What kind I expect and what kind of treatment is normal for this? Thank you.
Ultrasound: Carotid bruit is turbulent blood flow which can be heard with a stethoscope. It does not mean there ids significant blockage or narrowing. An ultrasound is a painless first test which which will determine the degree of blockade and if further testing or treatment is needed. ...Read more
Can a bruit be heard (louder?) rt carotid due to temp pressure (occlusion?) from head/neck positions (occupational)? (duplex sched)
Bruit is turbulence:
Bruit is due to turbulence, then anything that change smooth flow of blood in your carotid such as an atherosclerotic plaque which causes narrowing the carotid can cause bruit.
Change in intensity of bruit might happen due to change in heart rate, and position of your body.
By the way in somebody at your aga chance of real bruit due to carotid plaque is very low. ...Read more
Bruit presents in rt carotid artery when lying back (45d), but not while sitting up and calm - is it pos. Not damaged? (duplex ultra scheduled)
We are often taught to listen for a carotid bruit in medical school. But there are much better tests. Listening with the stethoscope has limited value in modern clinical practice.
The carotid bruit is not always an important finding. It may be present with an entirely normal artery structure.
The ultrasound is a much better evaluation of the carotid artery. Expect yours to be fine! ...Read more
Yes: A carotid bruit is simply a noise caused by turbulent flow in the carotid artery. The amount of stenosis causing the turbulent flow is best quantified with a carotid duplex scan. Most of the time, the degree of stenosis is not critical and then one would be safe to engage in any activity, including sex. A critical stenosis should prompt a consultation to a board certified vascular surgeon. ...Read more
Turbulence in Artery: A carotid bruit is a "swishing" sound heard when listening to the neck with a stethoscope. The noise is turbulence caused by blood flowing past a blockage in the artery. These blockages are most often formed by plaque build-up / atherosclerosis. Interestingly this finding correlates with mild to moderate blockages not blockages near or greater than 90%. An ultrasound is the next best test. ...Read more
Could a persistently elevated ddimer (flux between 9 and 13, norm< 0.5) and a carotid/ocular bruit, be related? (Hematology has been stumped.
This question is of the form "could A be related to B."
The answer is almost always Maybe, because you must know with certainty to answer yes or no. ...Read more
What does carotid pulses +2/4 bilaterally mean with no bruit? Abdominal Aorta not prominent? Femoral pulse +2/4 bilaterally. Is that normal?
All normal: No worries. The 2/4 nomenclature is used by some people but it all sounds completely normal (in other words don't assume you are supposed to be 4/4). Someone did an assessment of your pulses and thought they were fine. ...Read more
Normal echo 18months ago. Now have systolic murmur over aorta and carotid bruit. Is it possible for damage to develop so quickly? Could this be benign?
At your age it is unlikely the the carotid 'bruit' means anything is wrong. The murmur is hard to evaluate without further testing.
Non invasive eco testing could clear up most of your concerns and probably should be performed. ...Read more
Yes: A bruit is basically the turbulence in an artery caused by a blockage. A good analogy would be when a nice wide silently flowing river narrows and gets very turbulent and loud like a rapid. If the humming you hear is pulsatile / cyclical then it could very well be coming from your carotid arteries. A simple carotid ultrasound can help evaluate the arteries to rule out any narrowing. ...Read more
Yes: There are heart murmurs that can sound similar to carotid bruits. Particularly, the murmur of aortic stenosis (a tight aortic valve) can mimic the sound of a carotid bruit because the sound of the murmur radiates up into the neck area. A physician can perform maneuvers that distinguish between sounds emanating from the heart and those from a diseased carotid artery. ...Read more
My doctor heard no bruits in my carotid arteries. Could there be any benefit, still, to an ultrasound of them?
Can past vad - vertebral arterty dissection cause stenosis or a bruit in the carotid artery? Or any other stress to local arteries? What is the path?
Not usually: A bad trauma can cause dissection of vertebral and carotid arteries at the same time but rare. Carotid bruit can indicate a stenosis which is usually atherosclerosis. Fibromuscular dysplasia can cause narrowing. Fmd is usually in women. Fmd can affect the vertebral arteries and the carotid arteries. Fmd can cause dissection in vertebral and carotid arteries. ...Read more
I am a diabetic. I had a carotid endarterectomy on both left and right side 15 months ago. The doctor heard a bruit on the left side. Is it likely to have restenosis?
Post op restenosis: While restenosis is possible, statistically, it is pretty unusual. Some folks get a condition called myointimal hyperplasia which is like an over aggressive healing process that looks for the first few follow up ultrasounds like restenosis but it usually burns itself out and regresses back towards normal in time. It is pretty easy to look for restenosis with a repeat duplex scan (ultrasound). ...Read more
Is a stethoscope quite accurate way for listening for bruit in Carotid Artery from a Cardiologist?
Stethoscope: In good hands and careful examination a stethoscope can be an effective screening tool. However, the human ear will miss critical blockage and it is better to use ultrasound and Doppler for more accurate assssment ...Read more
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