Top
30
Doctor insights on: Can Carotid Bruits Go Away By Itself

Share
1

1
Can carotid bruits go away by itself?

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 (Definition)

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


2

2
Could a carotid artery bruit come and go?

Could a carotid artery bruit come and go?

Yes: If you have a bruit and it goes away the vessel probably has closed completely. ...Read more

3

3
Am I too young to get carotid bruits? I am 18 years old.

Am I too young to get carotid bruits? I am 18 years old.

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

4

4
Can carotid bruits cause severe headaches?

Can carotid bruits cause severe headaches?

No: A carotid bruit is a sign of turbulence in the carotid artery. This not typically associated with headache. A bruit should be followed up with an ultrasound as it could be a sign of significant carotid stenosis. ...Read more

5

5
Can a carotid artery bruit come and go with time?

Can a carotid artery bruit come and go with time?

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

6

6
Can a carotid artery bruit sound come and go? Does it mean you have a blockage?

Can a carotid artery bruit sound come and go? Does it mean you have a blockage?

Yes: Yes bruit can come and go. Having bruit is not sensitive test to associate with significant stenosis of the carotid artery but if u have bruit u can get a duplex ultrasound test to assess the blockage. ...Read more

7

7
Can flying affect a carotid bruit?

Can flying affect a carotid bruit?

No: A carotid bruit is noise from turbulent flow caused by a blockage in the carotid artery. Flying does not make the turbulence go away and will not affect a carotid bruit. ...Read more

8

8
Would flying affect a carotid bruit?

Would flying affect a carotid bruit?

Depends on the: Degree of carotid occlusion, not the intensity of the bruit. If the occlusion is severe enough, inadequate oxygen will reach the brain and can cause fainting or even worse a stroke. Get an opinion from your cardiologist. ...Read more

9

9
Can you explain what is a carotid bruit?

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

10

10
What is the definition or description of: Carotid bruit?

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

12

12
I have a carotid bruit, what should I expect in terms of treatment?

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

13

13
Lightheadness, vertigo, possible carotid bruit: should I be worried?

Lightheadness, vertigo, possible carotid bruit: should I be worried?

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

14

14
Will flying affect you if you have a carotid bruit? What about altitude sickness?

Should not: Bruit in the neck is a poor predictor of significant carotid disease. Flying and high altitude has no impact on carotid disease. ...Read more

15

15
Have a carotid bruit. Will see cardio. On mon. What kind I expect and what kind of treatment is normal for this? Thank you.

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

16

16
Can a bruit be heard (louder?) rt carotid due to temp pressure (occlusion?) from head/neck positions (occupational)? (duplex sched)

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

17

17
I have a carotid bruit. What should I expect for follow-ups with the doctor?

Ultrasound: You need a carotid ultrasound. If the ultrasound reveals that you have carotid stenosis of significance you might need surgery. If you have mild to moderate disease you will need to have an ultrasound on a serial basis typically every six months. ...Read more

18

18
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)

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)

Carotid bruits: 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

19

19
Is it safe to have sex when I have a carotid bruit?

Is it safe to have sex when I have a carotid bruit?

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

20

20
What does it mean if my physician tells me I have a right carotid bruit?

What does it mean if my physician tells me I have a right carotid bruit?

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

21

21
Can an acute cerebral vascular accident occur from a recent carotid bruit?

Can an acute cerebral vascular accident occur from a recent carotid bruit?

Yes: The bruit may represent carotid stenosis, plaque blocking the artery. If a piece of plaque or clot breaks off, then it can travel to brain causing cva/stroke. Doppler should reveal nature of bruit. Vascular surgeon may be consulted to do endarterectomy or stent, if merited. ...Read more

22

22
Could a persistently elevated ddimer (flux between 9 and 13, norm< 0.5) and a carotid/ocular bruit, be related? (Hematology has been stumped.

Maybe: 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

23

23
What does carotid pulses +2/4 bilaterally mean with no bruit? Abdominal Aorta not prominent? Femoral pulse +2/4 bilaterally. Is that normal?

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

24

24
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?

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?

Unlikely: 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

25

25
Can a carotid bruit cause a persistent humming in my ear?

Can a carotid bruit cause a persistent humming in my ear?

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

26

26
Are there any types of heart murmurs which sound similar to carotid bruit?

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

27

27
My doctor heard no bruits in my carotid arteries. Could there be any benefit, still, to an ultrasound of them?

Yes: Yes, there can be carotid stenosis without audible bruits, so if your doctor is looking for stenosis, or characterization of atheromatous plaque, carotid ultrasound could be useful. ...Read more

28

28
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

29

29
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?

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

30

30
Is a stethoscope quite accurate way for listening for bruit in Carotid Artery from a Cardiologist?

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