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Doctor insights on: What Is The Best Treatment For Carotid Bruit

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

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

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


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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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My medical charts say I have Carotid Bruit what does this mean? I also have Mitral valve prolapse I continuously have shortness of breath chest pain a

Carotid bruit is: An abnormal sound heard due to blood flow turbulence in your carotid artery. This sound can be attributed to a carotid artery aneurysm, dissection or partial blockage, or the same diagnoses in the aortic artery further upstream. Please see a vascular surgeon or cardiologist for proper diagnosis and treatment. Thanks for trusting in HealthTap. ...Read more

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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

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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

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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

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What is the best treatment for carotid cavernous fistula?

What is the best treatment for carotid cavernous fistula?

Special: Catheters, stents, coils, and glue can be used to close the fistula. See your neurosurgeon or they may refer you to a neurointerventional radiologist ...Read more

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What are the treatment options for blocked carotid arteries?

What are the treatment options for blocked carotid arteries?

Just depends: There are a lot of options when discussing carotid artery disease. The treatment guidelines are very strict and are based on symptoms and the degree of narrowing found on tests. The options range from observation to placing a stent or surgery to remove the blockage. It is really hard to tell which one is the right treatment until evaluated by a vascular surgeon. ...Read more

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I have mild stenosis of 40% and irregular intima in carotid doppler study. What are my treatment options?

I have mild stenosis of 40% and irregular intima in carotid doppler study. What are my treatment options?

Conservative: Assuming you have not had a stroke or TIA symptoms, medical management with observation is the appropriate management for you. Medical management consists of Aspirin (to prevent clots), statin (to lower cholesterol), and smoking cessation. Surveillance with a carotid ultrasound is also necessary. ...Read more

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Treatment for bilateral carotid artery calcifications?

Treatment for bilateral carotid artery calcifications?

None: Calcification of any artery, by itself, does not warrant any type of intervention or follow up. If that calcification is associated with a stenosis ("narrowing") of the artery, then that may require follow up and/or an operation. The carotid arteries are very often calcified and if associated with a high grade stenosis, may portend a higher risk of stroke. Discuss with a vascular surgeon. ...Read more

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Bilateral carotid stenosis-left greater 70 percent--right greater 50 percent no Hz of other medical condition-type treatment???????

Bilateral carotid stenosis-left greater 70 percent--right greater 50 percent no Hz of other medical condition-type treatment???????

Surgery: High grade carotid lesions are best treated by surgery. Not angioplasy, stunting or drugs. The main problem is there are few surgeons that are skilled enough to do the procedure at a low risk. Centers that do lots of this kind of work are in every major city. It's not a small hospital deal. ...Read more

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What is the treatment for partially occluded carotid arteries, less than 50%, in a 54 year old female?

What is the treatment for partially occluded carotid arteries, less than 50%, in a 54 year old female?

Medical management: For most partial occlusions of the carotid arteries of <50%, aggressive medical management is usually all that is needed (i.e. No surgery.) this will include aggressive cholesterol control with LDL < 70 mg/dl and HDL > 45 mg/dl. In addition, blood pressure control with systolic < 130 mmhg and diastolic < 80 mmhg (<130/80). These are general recommendations; see your doctor for your specific case. ...Read more

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Is it possible for the carotid arteries of my husband to clear up from 100% blockage on one side without treatment?

Is it possible for the carotid arteries of my husband to clear up from 100% blockage on one side without treatment?

Not really: May develop some collateral vessels to help. Most likely he has an intact circle of willis and is getting flow from other side. Treatment will depend on what your husband and surgeon decide best meets his needs. ...Read more

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What is the treatment for carotid artery disease?

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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What is the treatment for carotid artery stenosis?

What is the treatment for carotid artery stenosis?

See below: Carotid artery disease means that the carotid arteries have blockage, usually in the form of atherosclerosis. This can cause stroke. The more severe the blockage, the greater the risk
in the absence of neurological symptoms, most cases can be handled with medicine and close periodic follow up by a vascular surgeon. However, if the blockage is more than 80%, surgery will reduce the risk of stroke. ...Read more

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Will carotid artery disease kill me if I don't get treatment?

Stroke: Stroke is the most common complication of carotid artery disease. Some strokes are not survivable. If you have carotid disease, there is a higher chance of coronary disease as well. Coronary disease often leads to heart attacks and sudden death. ...Read more

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What is carotid arteritis? What are the systems? What is the treatment?

What is carotid arteritis? What are the systems? What is the treatment?

Steroids: Any arteritis is a very rare condition and very difficult to diagnose. There are some specific types of arteritis that affect people in the far east. Initial treatment is using steroids. Late stages with narrowing of arteries can be treated with surgery. ...Read more

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What is the diagnosis & treatment for an inflamed carotid artery & what specialist do I need to see?

What is the diagnosis & treatment for an inflamed carotid artery & what specialist do I need to see?

Inflamed carotid: Inflammation as such of an artery such as the carotid is not common. If by inflammation you mean atherosclerosis then, and in particular if you have symptoms such as dizziness or stroke-like symptoms at age 34, you need to see a doctor urgently for further investigation such as an ultrasound scan. Your GP can start this process but you may need to see a cardiologist or vascular surgeon. ...Read more

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What is the treatment and prognosis for someone with a combination of carotid occlusion/stenosis and occlusion/stenosis of the basilar artery?

What is the treatment and prognosis for someone with a combination of carotid occlusion/stenosis and occlusion/stenosis of the basilar artery?

Depends: Artery disease in the neck vessels (carotid/basilar) is associated with risk for stroke. Your doc, vascular provider can best assess all the associated factors and give you a risk assessment. Treatments vary from medical management, nicotine cessation, stenting, surgery and combinations of them all. ...Read more

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Will carotid artery dissection kill me if I don't get treatment?

Certainly: Carotid artery dissection, a tear in the inner lining of the artery wall, is a potentially life-threatening condition. ...Read more

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77yrs. CABG-'98, EF-LV 52%, Mild COPD-'12. Treatment/stable. HDL/LDL, BP, SpO2 normal. Carotid doppler-hemdynamically signifc calcific plaque, 75%?

77yrs. CABG-'98, EF-LV 52%, Mild COPD-'12. Treatment/stable. HDL/LDL, BP, SpO2 normal. Carotid doppler-hemdynamically signifc calcific plaque, 75%?

Stroke history?: Hi. I assume you've not had a stroke or TIA; please clarify if you have. That's what you want to prevent. Regardless of your LDL and HDL, you should be on a high dose statin. Regardless of your BP, you should be on an ACE inhibitor. You should be on some anti-platelet agent (e.g., clopidogrel). You should absolutely NOT smoke (I trust you've quit!). Good luck! ...Read more

Dr. Creighton Wright
49 Doctors shared insights

Carotid Bruit (Definition)

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 ...Read more