TY - CHAP M1 - Book, Section TI - Carotid Artery Disease A1 - Tafur, Jose D. A1 - White, Christopher J. A2 - Baliga, R. R. A2 - Lilly, Scott M. A2 - Abraham, William T. PY - 2018 T2 - Color Atlas and Synopsis of Interventional Cardiology AB - Dr. John Doe is a 67-year-old vascular surgeon and is self-referred for evaluation of a carotid bruit found on a routine insurance physical examination. He has no focal neurologic symptoms and reports no history consistent with a stroke or transient ischemic attack (TIA). He has a history of hypertension, dyslipidemia, and non–insulin-dependent diabetes all well-controlled on medical therapy. Physical exam confirms a right-sided bruit in the neck, and the rest of the physical exam is unremarkable. His medications include a daily baby aspirin (81 mg), atorvastatin (20 mg), lisinopril (10 mg), hydrochlorothiazide (12.5 mg), and metformin (500 mg). Duplex ultrasound reveals an 80% to 89% stenosis of his right internal carotid artery and 20% to 49% stenosis of his left internal carotid artery. What are the consequences of Dr. Doe’s carotid artery disease? How should his case be approached? SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/20 UR - accesscardiology.mhmedical.com/content.aspx?aid=1160207699 ER -