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July 1, 1984Stroke

The natural history of carotid arterial disease in asymptomatic patients with cervical bruits.

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Authors

GRGhislaine O. RoedererMontreal Clinical Research InstituteYLYves LangloisInterventional / Structural CardiologyKJK JägerSt. Antonius Ziekenhuis

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Overview

Prospective study evaluates disease progression in asymptomatic patients with cervical bruits, suggesting a conservative management approach.

Key Points

  • This study aims to investigate the natural progression of carotid arterial disease in asymptomatic patients with cervical bruits.
  • Prospective follow-up study of 167 asymptomatic patients with cervical bruits using Duplex scanning.
  • Patient evaluations occurred every six months for the first year and annually thereafter.
  • Disease classification was based on percentage diameter reduction at the carotid bifurcation.
  • Annual symptom occurrence rate was 4%, with 10 patients developing neurological symptoms during follow-up.
  • Mean annual rate of disease progression to greater than 50% stenosis was 8%, with 60% of patients showing some disease aggravation.
  • Progression to greater than 80% stenosis highly correlated (p = 0.00001) with new symptoms or total occlusion.

Cite This Study

Roederer et al. (1984) studied this question.

synapsesocial.com/papers/6a20254e3224f8dacd0df5a2https://doi.org/10.1161/01.str.15.4.605
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