Doctor insights on:
Do A Lot Of People Get Vertebral Artery Dissection
Symptoms: Vertebral artery dissection (VAD) can cause localized pain (often described as being sharp, aching or pulsing pain) in the head, neck and face. It is estimated that between half to one third of patients with a VAD experience this type of pain. Though VAD can be diagnosed on the basis of pain alone, it is usually followed by neurological symptoms such as numbness or vertigo within hours or days. ...Read more
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
No: About 2000 new cases/yr in the US. Very high mortality. Hard to estimate actual occurrence, 1-3%of all autopsies or 1/350 cadavers. Very high mortality if ascending aorta involved. High index of suspicion, symptoms not consistent. If ascending aorta involved, emergency surgery needed. Most of descending aorta dissections can be managed medically into chronic. Periodic cat scans to monitor needed. ...Read moreSee 1 more doctor answer
Usually: Coronary dissections can be induced or rarely be spontaneous. They can occur during coronary interventions. If flow to the heart muscle severely compromised, myocardial necrosis may occur. If not corrected may progress to thrombosis, acute cardiac death, acute potentially fatal arrythmias, low cardiac output syndrome. ...Read more
Most: Most patients with a dissection aortic aneurysm have a sensation of tearing in their chest that is painful and distressing. However, between 5-15% of patients with aortic dissection have a painless dissection, making detection more difficult. Unexplained hypotension with dyspnea and heart failure usually lead to a diagnostic echocardiogram... But missed diagnosis are common in this group. ...Read moreSee 1 more doctor answer
It depends: The presence of symptoms, such as chest pain, depends on the type of coronary artery anomaly. Many patients with an anomalous origin or course of a coronary artery are entirely asymptomatic, but some have intermittent chest pain (sometimes during or immediately after strenuous exercise). Many anomalies are benign, but some require surgery because of an increased risk of sudden cardiac death. ...Read more
Common: Unless you die from an accident or truma, if you die of natural causes, the most common cause of death are cardiac event or stroke or cancer. Heart attacks and strokes are secondary to arteriosclerosis. Dying during sleep when you are 100 y/o still a cardiac event or a stroke. Of about 3000 autopsies done on young soldiers, approx. 20% already showed signs of early arteriosclerosis. ...Read moreSee 1 more doctor answer
Rare event: Renal infarction is the term for loss of blood supply to all or a portion of the kidney which then dies. It is not a common event. It can be caused by atherosclerosis or more rarely, by blood clots lodging in the renal arteries. It can be a consequence of surgery on the abdominal aorta. ...Read more
No: There are certain populations that are at risk including those of scandinavian ancestry, but it can be found in all populations including blacks, asians, etc there is not a clear picture to predict who gets it but these are generalizations. ...Read more
Not necessarily: Coarctation of aorta may have no symptoms. ...Read more
Depends of Severity: The kidneys are generally well protected under the ribs and heavy flank muscles. However, major blows such as from motor vehicle accidents, falls from heights, large objects, fists, etc. May crush or compress the kidneys. Of course penetrating objects like knives, gunshots, or missiles, can directly damage any internal organ. Blood in the urine is often found after major kidney trauma. ...Read more
Not unusual: Not uncommon, especially in women.Get a more detailed answer ›
Any age: Stroke from interrupted blood flow (ischemic stroke) or bleeding (hemorrhagic stroke) can happen at any age. However, it is more frequent in older age groups, and in people with certain predisposing conditions, including clot-forming conditions, some heart conditions and blood vessel conditions. ...Read more
Ultrasound: A general idea of vascular disease can be assessed on a physical exam (pulse exam, capillary refill, temperature, color of skin, non-healing wounds) and history (pain at rest, claudication). However an arterial duplex scan (ultrasound) is the most objective way to evaluate someone for peripheral vascular disease. ...Read moreSee 1 more doctor answer
Internal carotid artery dissection and exercise...My dissection has mostly healed (2mm aneurysm remains) over the last 20 months. What kind of exercise can I do and at what intensity?
Ask UR cardiologist: Whoever is following you medically needs to be involved in this discussion, as their recommendations is what you'll need to follow closely. Give your doctor a call, and she what s/he says. You don't want to aggrevate the remaining 2 mm aneursym present. This is a great question, and glad you are exercising carefully! ...Read moreSee 1 more doctor answer
MRA scan showed right vertebral artery much smaller than left. Is this a problem? I get a lot of migraines and pain in right carotid and vertebral art
Not at all: Not unusual to have asymmetric size of vertebral arteries, and this is merely an anatomic variant, having NOTHING TO DO with your migraines. ...Read more
A vertebral artery is a small artery that comes of of the aorta (the biggest vessel in the body that takes oxygenated blood away form the heart to deliver to the rest of the body) to give blood to the vertebrae. There are two arteries , one right and one left until the aorta splits. Since the aorta runs right next to the vertebral column, ...Read more
Arteries are made up of several layers much like an onion. Occaisionally a small tear in the most inner layer can occur. The blood flows through the artery under high pressure. This jet of blood can separate the layers causing the vessel to obstruct (close off). In the vertebral artery this ...Read more
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