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The Role of Carotid Bruit in Screening for Carotid Stenosis

1997; American College of Physicians; Volume: 127; Issue: 8_Part_1 Linguagem: Inglês

10.7326/0003-4819-127-8_part_1-199710150-00032

1539-3704

Thomas D. Rea,

Acute Ischemic Stroke Management

Letters15 October 1997The Role of Carotid Bruit in Screening for Carotid StenosisThomas Rea, MDThomas Rea, MDSeattle, WA 98104Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-127-8_Part_1-199710150-00032 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:I concur with Lee and colleagues' [1] careful evaluation and discussion of the cost-effectiveness of screening for carotid stenosis in asymptomatic persons. However, I wonder whether the authors considered the clinical question of importance: Would screening only persons with carotid bruits be cost-effective? Auscultation of the carotid arteries is a simple, safe, and inexpensive maneuver. In addition, the presence of a neck bruit is a fairly reproducible finding on physical examination [2]. Thus, could the presence of a carotid bruit initially and appropriately narrow the asymptomatic target population?In a population similar in age to that of ...References1. Lee TT, Solomon NA, Heidenreich PA, Oehlert J, Garber AM. Cost-effectiveness of screening for carotid stenosis in asymptomatic persons. Ann Intern Med. 1997; 126:337-46. Google Scholar2. Chambers BR, Norris JW. Clinical significance of asymptomatic neck bruits. Neurology. 1985; 35:742-5. Google Scholar3. Zhu C, Norris JW. Role of carotid stenosis in ischemic stroke. Stroke. 1990; 21:1131-4. Google Scholar4. Endarterectomy for asymptomatic carotid artery stenosis. JAMA. 1995; 273:1421-8. Google Scholar5. Ziegler DR, Zileli T, Dick A, Selbaugh JL. Correlation of bruits over the carotid artery with angiographically demonstrated lesions. Neurology. 1971; 21:860-5. Google Scholar Author, Article, and Disclosure InformationAuthors: Thomas Rea, MDAffiliations: Seattle, WA 98104 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byCarotid Endarterectomy 15 October 1997Volume 127, Issue 8_Part_1Page: 657 ePublished: 15 August 2000 Issue Published: 15 October 1997 Copyright & PermissionsCopyright © 1997 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...