Need help with Results of carotid artery ultrasound

Posted by sandrajane @sandrajane, Jan 13 11:45am

This US was ordered by my ENT for tinnitus. . He reviewed
it and texted me today that there are no alarming issues noted. I did reply that I was concerned about the stenosis and the artheromateous disease,.
Should I be concerned that he is not concerned or is this a normal part of aging?
Narrative & Impression
General: A bilateral carotid duplex was performed.
Previous: No previous study.
Right: RIGHT: Doppler flow velocity represents ICA stenosis of 1-39%. Heterogeneous
plaque noted.
Proximal ICA PSV/EDV (highest) = 112/26.3cm/s
ICA/CCA ratio = 0.9
Antegrade vertebral artery flow noted.
Left: LEFT: Doppler flow velocity represents ICA stenosis of 1-39%. Heterogeneous
calcified plaque noted.
Mid ICA PSV/EDV (highest) = 106/31.4cm/s
ICA/CCA ratio = 1.0
Antegrade vertebral artery flow noted.
Conclusions
1. RIGHT ICA: 1-39% ICA stenosis - (Mild atheromatous disease).
2. LEFT ICA: 1-39% ICA stenosis - (Mild atheromatous disease).
3. Antegrade vertebral artery flow noted bilaterally.

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The best tests available are the latest generation carotid ultrasound
and calcium score on CT. Lipoprotein analysis is important.
HS-Cardiac CRP for inflammation is helpful as inflammation is a factor in atherosclerosis. Functional echo stress can miss the plaque.
Gold standard is still angiography now available through an artery in our wrist.

REPLY
@seniormed

The best tests available are the latest generation carotid ultrasound
and calcium score on CT. Lipoprotein analysis is important.
HS-Cardiac CRP for inflammation is helpful as inflammation is a factor in atherosclerosis. Functional echo stress can miss the plaque.
Gold standard is still angiography now available through an artery in our wrist.

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I did have a carotid ultrasound. I don’t know if it was the latest generation or what that means. I will ask my doctor about the calcium score on the CT etc..

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