carotid artery disease

Question 1

what is carotid artery disease?

Answer 1

1. athersoclerotic plaques in one or both common and internal carotid arteries
2. stenosis or occlusion

Question 2

how is severity of carotid disease classified?

Answer 2

1. degree of stenosis
   - mild < 50
   - moderate 50 - 70
   - severe 70- 99

Question 3

risk factors

Answer 3

1. age > 65
2. hypercholesterolaemia
3. hyperlipidaemia
4. obesity
5. diabetes

Question 4

clinical feature

Answer 4

1. TIA < 24 hours
2. Stroke > 24 hours
3. carotid bruits

Question 5

Ix - first line

Answer 5

urgent non contrast CT head if sus of stoke

2. second line- USS of carotid arteries
3. ECG - shows AF

Question 6

Mx

Answer 6

main consequence is stroke so manage the stroke

Stroke CBL