Saturday, February 28, 2009

Carotid Bruits-- Pearls

1. 8.2 % prevalence in age> 75; 40 % of those with ? 50 % stenosis have a bruit
2. Only characteristic of a bruit predictive of stenosis is a diastolic bruit
3. With greater than 75 % stenosis, the stroke risk at one year is 5.5 % with bruit
For 75-94 % stenosis, risk of stroke at one year is 3.7 %
4. In asymptomatic patients, keep in mind cardiac ischemia, risk is increased
5. Risk of noncardiac surgery not higher with bruit
6. Symptomatic VB stenosis confers 6 % risk of GET
7. Asymptomatic intracranial stenosis, carotid stenosis does not increase risk of general anesthesia except CABG

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