Key result
Carotid auscultation is recommended as part of the optometric clinical routine for hypertensive and diabetic patients and those aged 50 years and older to help recognize stroke risk.
Why the study?
Should carotid auscultation be included in the optometric clinical routine for patients at risk of stroke?
Should carotid auscultation be included in the optometric clinical routine for patients at risk of stroke?
Highlights the potential role of optometrists in stroke prevention through carotid auscultation in high-risk patients.
Answers are grounded in this paper and cite their sources.
May support optometrist screening for stroke risk in high-risk patients; hypothesis-generating and requires prospective validation before routine adoption.
: The mechanisms of cerebrovascular insufficiency leading to stroke and transient ischemic attack (TIA) are outlined. Signs and symptoms of TIA are explained in terms of the cerebral and ocular territory supplied by the various cerebral arteries. The internal carotid artery in its cervical course is particularly liable to atherosclerotic lesions; these lesions cause TIA having ocular and general deficits with characteristic patterns of expression.It is suggested that carotid auscultation should form part of the optometric clinical routine provided for hypertensive and diabetic patients and all those 50 years of age and over. Management guidelines for patients at risk of stroke are outlined and a schematic diagram is provided to facilitate recognition of these subjects.
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David Cockburn (1985) conducted a review in Stroke and transient ischemic attack (TIA). Carotid auscultation was evaluated. Carotid auscultation is recommended as part of the optometric clinical routine for hypertensive and diabetic patients and those aged 50 years and older to help recognize stroke risk.
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