8 doctors weighed in:

If a person has asymmetric brachial blood pressures, this can indicate carotid stenosis on which side?

8 doctors weighed in
Jin Packard
Emergency Medicine
6 doctors agree

In brief: Not necessarily

If the patient has carotid stenosis on one side, that same side can present with higher arm BP than the other arm. But other things can also cause asymmetric BP including thoracic outlet syndrome, subclavian steal syndrome, and coarctation of the aorta.
Always take repeated BP measures over several occasions to see definitive pattern.

In brief: Not necessarily

If the patient has carotid stenosis on one side, that same side can present with higher arm BP than the other arm. But other things can also cause asymmetric BP including thoracic outlet syndrome, subclavian steal syndrome, and coarctation of the aorta.
Always take repeated BP measures over several occasions to see definitive pattern.
Jin Packard
Jin Packard
Answer assisted by Jin Packard, Medical Student
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Dr. Shoaib Shafique
Surgery - Vascular

In brief: Subclavian stenosis

This would suggest subclavian or axillary artery stenosis not carotid.

In brief: Subclavian stenosis

This would suggest subclavian or axillary artery stenosis not carotid.
Dr. Shoaib Shafique
Dr. Shoaib Shafique
Thank
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