Since clogging of your carotid arteries is often asymptomatic, an ultrasound is most often used. The only thing that would have caught mine is if my Dad's doctor had told him to have any children tested for carotid blockage after he was diagnosed with 80% blockage. But he didn't so as a result I had a stroke. Here are foods that might remove plaque. Most are useless since they don't give amounts.
The latest here:
The Risk of Stroke and TIA in Nonstenotic Carotid Plaques: A Systematic Review and Meta-Analysis
This article requires a subscription to view the full text. If
you have a subscription you may use the login form below to view the
article. Access to this article can also be purchased.
Abstract
BACKGROUND:
Severe carotid stenosis carries a high risk of stroke. However, the
risk of stroke with nonstenotic carotid plaques (<50%) is
increasingly recognized.
PURPOSE: We aimed to summarize the risk of TIA or stroke in patients with nonstenotic carotid plaques.
DATA SOURCES:
We performed a comprehensive systematic review and meta-analysis in
patients with acute ischemic stroke in whom carotid imaging was
performed using MEDLINE and the Cochrane Database, including studies
published up to December 2019.
STUDY SELECTION:
Included studies had >10 patients with <50% carotid plaques on
any imaging technique and reported the incidence or recurrence of
ischemic stroke/TIA. High-risk plaque features and the risk of
progression to stenosis >50% were extracted if reported.
DATA SYNTHESIS:
We identified 31 studies reporting on the risk of ipsilateral
stroke/TIA in patients with nonstenotic carotid plaques. Twenty-five
studies (n = 13,428 participants) reported on first-ever stroke/TIA and 6 studies (n = 122 participants) reported on the recurrence of stroke/TIA.
DATA ANALYSIS:
The incidence of first-ever ipsilateral stroke/TIA was 0.5/100
person-years. The risk of recurrent stroke/TIA was 2.6/100 person-years
and increased to 4.9/100 person-years if intraplaque hemorrhage was
present. The risk of progression to severe stenosis (>50%) was
2.9/100 person-years (8 studies, n = 448 participants).
LIMITATIONS:
Included studies showed heterogeneity in reporting stroke etiology, the
extent of stroke work-up, imaging modalities, and classification
systems used for characterizing carotid stenosis.
CONCLUSIONS:
The risk of recurrent stroke/TIA in nonstenotic carotid plaques is not
negligible, especially in the presence of high-risk plaque features.
Further research is needed to better define the significance of
nonstenotic carotid plaques for stroke etiology.
No comments:
Post a Comment