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Doctor insights on: Corotid Artery Disease

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Dr. Ronald Krauser
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Artery (Definition)

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


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What is carotid artery disease?

What is carotid artery disease?

Carotid stenosis: In the carotid arteries the flow of blood goes from being linear to being turbulent due to the "fork in the road" at the bifurcation. This causes the area of the proximal internal and external carotid arteries to develop plaque. This plaque leads to narrowing of the artery. The material that is causing the narrowing is fragile and can break off and cause a stroke. ...Read more

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How do people treat carotid artery disease?

How do people treat carotid artery disease?

Multiple options: If the narrowing is significant surgery or a stent are used. Before you get to that point blood pressure control, cholesterol lowering medications and blood sugar control are helpful. And obviously no smoking. ...Read more

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What to do if I have carotid artery disease?

What to do if I have carotid artery disease?

It depends: It depends on the severity. Anything along the spectrum of lifestyle changes, to medication, to surgery may be indicated. Speak with your doctor about your particular situation. ...Read more

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How do you diagonise carotid artery disease?

How do you diagonise carotid artery disease?

Multiple modalities: Carotid ultrasound is the least invasive of the tests. Mr angiography requires a patient to lie in a confined space. The quality of the images is dependent upon no movement during the study. Ct angiography requires iodine-based contrast dye. Patients with chronic renal disease may have special preparations before their study. The gold standard is most invasive, arterial angiography. ...Read more

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What does having carotid artery disease mean?

What does having carotid artery disease mean?

Plaque: Plaque or hardening of the arteries forming in the vessels of your neck. Can lead to stroke. ...Read more

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What are the tests for carotid artery disease?

What are the tests for carotid artery disease?

Duplex ultrasound: First best test is duplex ultrasound . Other test like ct angiogram or mr angiogram could be done . The most invasive but gold standard is conventional arteriography. ...Read more

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Describe the features of carotid artery disease.?

Ischemic stroke: Carotid artery disease usually occurs at the origin of the internal carotid artery at the neck and results from plaque build up. The main concern is that blood clots may for from turbulent blood flow this plaque causes, and the clot may travel upward and block an important brain artery, causing a stroke. It is a common found and commonly treated cause for stroke. Several options exist. ...Read more

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What symptoms typically go along with carotid artery disease?

Risk of stroke: Carotid disease is a risk factor for stroke. Prior to a stroke, a patient may have transient ischemic attacks (tias), which are brief episodes of weakness or numbness on one side of the body, coordination or speech difficulties. A specific TIA attributable to carotid disease is a brief loss of vision in one eye called amaurosis fugax. Treatment of asymptomatic carotid disease is controversial. ...Read more

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What are the symtoms of carotid artery disease with narrowing?

What are the symtoms of carotid artery disease with narrowing?

Stroke: Typically has no symptoms but with advance percentage of narrowing will increase risk of stroke or mini stroke. ...Read more

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What is the definition or description of: Carotid artery disease?

What is the definition or description of: Carotid artery disease?

Carotid Artery: Disease= a number pathologic processes that affect the carotid arteries. In common usage it generally implies atherosclerotic disease. ...Read more

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I was wondering what is the risk factors for carotid artery disease?

I was wondering what is the risk factors for carotid artery disease?

Same : Same as those for cardiac or peripheral vascular disease: high fat diet, lack of exercise, poorly controlled diabetes and high blood pressure. Also genetic factors play a role. Very importantly, smoking. ...Read more

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Seeing spots symptoms of carotid artery disease?

Seeing spots symptoms of carotid artery disease?

Very rarely,if ever.: Usual is amaurosis fugax, like a shade coming down over the vision of one eye only, but not both.An unusual variation is bright light amaurosis, brought on in one eye when in bright light, because the extra light puts more demand on the retina.The key in all vision changes with carotid disease is that it is monocular, a point missed by most practitioners.If a symptom affects both eyes, not carotid! ...Read more

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Carotid artery disease. Is it reversible w/o surgery?

Carotid artery disease.  Is it reversible w/o surgery?

No: Using medications like anti hypercholesterol like Lipitor (atorvastatin) binging bad cholesterol or LDL to below 100 showed in some study that it can prevent progression of atherosclerosis and narrowing in carotid arteries . In minority of patients it shows very slow regression or decrease in size but not significant. If u have symptoms and more than 50% stenosis then surgery is the answer. ...Read more

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I'm seeing spots with carotid artery disease, is that bad?

I'm seeing spots with carotid artery disease, is that bad?

Please: Be evaluated by an opthalmologist as well as by your doctor and or a neurologist. You may need an eye exam, a carotid doppler and possibly a trans cranial doppler. These will direct medical vs surgical treatment options. ...Read more

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What lifestyle changes can I make to decrease my risk for carotid artery disease?

Many: Lose weight, lower your cholesterol, control your diabetes, lower your blood pressure, lower your stress. These are all within your power to affect but it will take some work on your part. ...Read more

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What is the treatment for carotid artery disease?

Endarterectomy: This is an operation that removes the plaque from the lumen of the artery. Traditionally this is the gold standard treatment for carotid disease. In some patients however that are high risk for surgery your doctor may recommend carotid stenting. Either way maximal medical management of peripheral vascular disease should be incorporated into the treatment paradigm. ...Read more

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Is the first step for carotid artery disease an ultrasound?

Yes, generally: Ultrasound is the best screening tool for carotid disease. It is non-invasive and gives flow data in real time. Carotid ultrasound is advised for people with multiple risk factors (age over 65, high blood pressure, high cholesterol, diabetes, strong family history, smoking), people with symptoms of stroke or an abnormal noise (bruit) in the neck on exam. ...Read more

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Pulse in my head. Is this indicative of carotid artery disease?

Pulse in my head. Is this indicative of carotid artery disease?

No: Carotid artery disease usually become symptomatic when an embolus or clot goes to the brain and cause stroke or mini stroke . Hearing pulse in the head does not indicate the presence or absence of disease. ...Read more

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