Doctor insights on:
Mild Plaque In Carotid Artery
Mild diffuse atherosclerotic plaques are seen w in internal carotid arteries. No hemodynamically significant carotid stenosis per ratio criteria?
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
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
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 prgresses to 60% or more, than you will need endarterectomy and reduce the chances of it leading to stroke. ...Read more
If I have negligible plaque in the carotid and peripheral arteries, do I need to get a carotid ultrasound?
I was told i have small hemogen plaques in my carotid. I'm 41. What age do plaques begin to show up in arteries.?
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
Negligible plaque in the carotid and peripheral arteries, can I assume that it's the same for coronary artery?
PROBABLY AT YOUR AGE: Atherosclerosis is a systemic disease and affects vasculature all over our bodies. If non-invasive testing shows minimal plaque, AND MOST IMPORTANTLy, if you have no symptoms of chest pain/pressure, then probably you have no CAD and/or significant plaque in coronaries. ALSO, this holds if you are not diabetic. As a young person, most imp, check your lipids, address them if abnl, and healthy lifesty ...Read more
"For patients with a narrowing of an artery between 50% and 99%, it is recommended that surgery to remove the plaque carotid endarterectomy," True?
Complex: There is recent data suggesting that medication management may be as successful as surgery in stroke prevention, and there is another surgical intervention called stenting. Since patients vary and may do best with different approaches, get a few opinions prior to deciding the ultimate l pathway. ...Read more
Here is the general information for reversing the plaque
1 Life style changes are most important it includes healthy diet, physical activities&exercise, if over weight loose weight and quit smoking if you do 2Medications like statins to lower your cholesterol
3 If significant plaque obstructing 50% or more may need Endarterectomy or
Angioplasty and Stents to prevent stroke
depends on % of block ...Read more
If my father just had a mild stroke, can he still have the operation to clear out his carotid artery?
My mri shows hypolastic right vertibal artery and mild irreularity along the bilaeral segment of internal carotid artery?
Low value finding.: Why? 2 reasons: 1. Spacial resolution of MRI (even more so than CT) is very low compared to the complexity of the anatomic structures named & 2. Arteries are not being visualized, only a contrast agent within the blood inside the artery. Get & study the image data yourself; compare with Netter anatomy illustrations. Irregularity is c/w artery Ds. Good quality echo of carotid walls far better. ...Read more
My ultra sound for carotid artery showed, "mild noncalcified plaquenin carotid systems bilaterally" should I be worried?-(healthy 70 year old male)
No: Only when the obstruction is around 70% or higher we recommend surgery (endarterectomy or scraping of the plaques) but we order a mra or dsa to confirm it. In the mean time you could take 81 mg of Aspirin (if not allergic or contraindicated)and lower your cholesterol as much as you can. ...Read more
Have "whooshing" in left ear that has rhythm of heartbeat & Mild vertigo when laying prone. Carotid artery test normal. Could this be inner ear prob?
Whooshing: The carotid may be completely normal and the turbulent flow you're hearing produced nearer to the left ear perhaps inside the skull. It isn't easy to deal with. Seeing you've had trouble with your cervical vertebrae increases chances its related Discuss with your Doc. ...Read more
Definately: Amarosis fugax, or "fleeting blindness" is described as a curtain coming down over your eye -- this is a classic presentation of carotid artery disease. You should see your doctor right away. ...Read more
Arteries to head: The carotid arteries start in the chest and progress up the sides of the neck. About mid neck they split and one branch supplies blood to the face the, the other continues without branches into the skull and supplies blood to the brain. ...Read more
CEA: The gold standard for carotid stenosis is carotid endarterectomy. ...Read more
Variable: Can be many results including: nothing, blood accumulation in the neck, ecchymosis (black and blue mark), hematoma (firm mass of blood), or, in the worse case, a stroke. ...Read more
Carotid Pain: Carotid artery pain is also called carotodynia. This is caused by inflammation of the arterial bulb, where the internal and external arteries divide from the common carotid artery. I recommend large doses of nsaids, such as Ibuprofen 800 mg three times / day for fourteen days. Prednisone is also generally very effective, but is used only if nsaids don't work. See your primary care healthcare provi. ...Read more
"Nicked": "Nicked" is a word some physicians use to describe an unintentional injury caused in the process of providing medical care by a trained person. Depending on the extent of the injury to the carotid artery, the consequences can range from nothing to causing a stroke. This would be really unfortunate, but these things can and do happen with some regularity. ...Read more
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
Sometimes...: A dilated or aneursymal carotid on ultrasound is simply what we call a "redundant" carotid, meaning it is long and wraps on itself, so it looks bigger on ultrasound. True enlarged carotid arteries should be evaluated by a vascular surgeon. ...Read more
Use your fingers: If you are taking your own pulse take your second & third finger; place them over your neck below your chin and slide them to your side (opposite side of the hand you are using is easier) until you feel a pulsation. You will need to put a firm pressure to feel it. Be careful to take pulse at the neck one side at a time as if you do both sides at the same time you could get dizzy. ...Read more
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