Sunday, February 21, 2021

Treatment of asymptomatic carotid stenosis

If it is truly  asymptomatic, as mine was, how the hell do you even know about it?

Would this test also  work for carotid stenosis?

New data indicate AI-powered blood test accurately diagnoses aortic stenosis

The latest here:

Treatment of asymptomatic carotid stenosis

Until now, degree of stenosis has been regarded as being predictive of risk of stroke in patients with symptomatic carotid stenosis, but not in those with asymptomatic stenosis. In their analysis of a cohort from the Oxford Vascular Study (OxVasc) in The Lancet Neurology, Dominic Howard and colleaguesreport that the degree of stenosis can predict risk of stroke among patients with asymptomatic carotid stenosis. Out of 2178 patients in OxVasc who underwent carotid imaging because of stroke or transient ischaemic attack (TIA), 207 (10%) had a 50–99% carotid stenosis. The 5-year risk of stroke in patients with less than 70% stenosis was only 2% (Rothwell P, University of Oxford, Oxford, UK; personal communication). In patients with 70–79% stenosis, it was 14·6% (95% CI 3·5–25·7), and in patients with 80–99% stenosis it was 18·3% (7·7–29·9).
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