6 doctors weighed in:
Can a carotid artery bruit come and go with time?
6 doctors weighed in

Dr. Scott Mackinnon
Anesthesiology
3 doctors agree
In brief: 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.

In brief: 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.
Dr. Scott Mackinnon
Dr. Scott Mackinnon
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1 comment
Dr. Slade Suchecki
Also, changes in blood pressure can amplify sound. A bruit can be due to tortuosity of vessels and high pressure or more seriously an obstruction. I agree with Dr. Mackinnon, it should be evaluated either way.
Dr. Khashayar Salartash
Surgery - Vascular
2 doctors agree
In brief: Maybe
I would simply get a carotid ultrasound to assess the carotid circulation.
If there is a lesion that is causing the bruit you will know about it after the ultrasound.

In brief: Maybe
I would simply get a carotid ultrasound to assess the carotid circulation.
If there is a lesion that is causing the bruit you will know about it after the ultrasound.
Dr. Khashayar Salartash
Dr. Khashayar Salartash
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Dr. Michael Korona
Radiology - Interventional
In brief: Yes
If no more bruit vessel has closed completely.

In brief: Yes
If no more bruit vessel has closed completely.
Dr. Michael Korona
Dr. Michael Korona
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