The case is a 75-year-old man with an history of hypertension for 10 years, treated with amlodipine, 5 mg once a day, and perindopril
After cutting along the front of the neck, a surgeon opens the blocked carotid artery and removes the plaques
Carotid endarterectomy (CEA) reduces the risk of stroke in patients with symptomatic carotid stenosis and to some extent in patients with asymptomatic carotid stenosis
Patients with asymptomatic carotid stenosis (ACS) are at very high risk of coronary events, so they should all receive intensive medical therapy
With the aging of the general population and the availability of noninvasive imaging studies, carotid artery stenosis is a disease commonly seen in general medical practice
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Few randomized controlled carotid trials compared the best medical therapy and CEA in treatment of severe asymptomatic carotid stenosis
Objectives Hypertension is well established as a major risk factor for cardiovascular disease
TCAR for the Treatment of Carotid
The aim of antithrombotic therapy in asymptomatic carotid stenosis is dual: to reduce the risk of stroke directly related to the lesion, as well as modulating the increased risk of other cardiovascular events (e
To date, no randomized clinical trial has been performed and no definite treatment guideline for antihypertensive regimens
Methods: We conducted a randomized trial involving 55 patients with 70% to 79% carotid stenosis at three Russian centers
A carotid artery might get so narrow because of atherosclerosis that not enough blood reaches parts of
Atherosclerosis leading to stenosis of the internal carotid artery is the underlying cause of 8–15% of ischaemic strokes (symptomatic carotid stenosis)
Atherosclerotic carotid arterial disease accounts for ~15% of all ischemic strokes and TIAs 6,7
Amlodipine treatment has been associated with an impairment in the progression of atherosclerosis at both coronary and carotid levels
report that the degree of stenosis can predict risk of stroke among patients with asymptomatic carotid stenosis
An ultrasound duplex of his carotids shows bilateral stenosis with 40% on the right and 75% on the left
Many surgeons who work with certified laboratories proceed with surgery on the basis of carotid duplex
It is also referred to as carotid artery stenosis and can put you at risk of stroke
Consequently, contralateral carotid stenosis or occlusion is an important determinant of risk that should be considered in planning treatment
Similar to coronary artery disease, a carotid artery also may develop