RT Book, Section
A1 Tafur, Jose D.
A1 White, Christopher J.
A2 Baliga, R. R.
A2 Lilly, Scott M.
A2 Abraham, William T.
SR Print(0)
ID 1160207699
T1 Carotid Artery Disease
T2 Color Atlas and Synopsis of Interventional Cardiology
YR 2018
FD 2018
PB McGraw-Hill Education
PP New York, NY
SN 9780071749350
LK accesscardiology.mhmedical.com/content.aspx?aid=1160207699
RD 2024/04/23
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?