Doctor insights on:
What Is The Best Treatment For Carotid Bruit
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 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
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
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
Ultrasound: You need a carotid doppler.Get a more detailed answer ›
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
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
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
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
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
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?
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
High deductible. Limited coverage of outpatient care. Would really help to know what tests, evaluations are required to diagnose carotid cavernous fistula and follow it after treatment.?
Angiography: Cerebral angiography best for diagnosis. Can also see on cta. Can follow with mra or angiography. ...Read more
Certainly: Carotid artery dissection, a tear in the inner lining of the artery wall, is a potentially life-threatening condition. ...Read more
What could be used for treatment of Carotid Arteritis / carotidynia in patient who is allergic to Aspirin, Indomethacin. Etc.?
Carotid arteritis: This is very rare I would want to be sure of the diagnosis. That will tell you the treatment. ...Read more
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
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