Rolling ball sifting algorithm for the augmented visual inspection of carotidbruit auscultation Carotidbruits are systolic sounds associated with turbulent blood flow through atherosclerotic stenosis in the neck. They are audible intermittent high-frequency (above 200 Hz) sounds mixed with background noise and transmitted low-frequency (below 100 Hz) heart sounds that wax and wane periodically potentially improve carotidbruit diagnosis accuracy.
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Carotid artery ultrasonographic assessment in patients from the Fremantle Diabetes Study Phase II with carotidbruits detected by electronic auscultation. Electronic auscultation appears superior to acoustic auscultation for identifying hemodynamic abnormalities. The aim of this study was to determine whether carotidbruits detected by electronic stethoscope in patients with diabetes stenosis of ≥50% and CIMT of >1.0 mm than those without (odds ratios [95% confidence intervals]=14.0 [1.8-106.5] and 5.3 [1.8-15.3], respectively; both P=0.001). For the six patients with stenosis of ≥70%, five had a bruit, and one (with a known total occlusion) did not (odds ratio=5.0 [0.6-42.8]; P=0.22). The sensitivity and specificity of carotidbruit for stenoses of ≥50% were 88% and 58
CarotidBruitCarotidBruit * Versions * Standard Desktop * Legacy Desktop * Mobile Web * Iphone/Ipad App * * Help Toggle navigation * * Home * Books: A to N * Cardiovascular Medicine * Dentistry * Dermatology * Emergency Medicine * Endocrinology * Gastroenterology * Geriatric Medicine * Gynecology to Palliative Care * * Administration * Patient Satisfaction * Documentation 4 * * advertisement * Home * Cardiovascular Medicine Book * Examination Chapter * CarotidBruitCarotidBruit Aka: CarotidBruit Cardiovascular Medicine Examination Chapter * Coronary Artery Disease * Canadian Cardiovascular Society Angina Classification
of aspirin in asymptomatic patients with carotidbruits and substantial carotid narrow-ing. The Asymptomatic Cervical Bruit Study Group. Ann Intern Med 1995;123: 649-55.16. Sepucha KR, Scholl I. Measuring shared decision making: a review of con-structs, measures, and opportunities for cardiovascular care. Circ Cardiovasc Qual Outcomes 2014;7:620-6.17. Alonso-Coello P
of recommendation.bLevel of evidence.cCSM should not be undertaken in patients with previous transient ischaemic attack, stroke, or known carotid stenosis. Carotid auscultation should be performed before carotid sinus massage. If a carotidbruit is present, carotid ultrasound should be performed to exclude carotid diseasedComplete blood counts, prothrombin time, partial thromboplastin time, serum creatinine
years and data on CV events and causes of deaths was collected. During the follow-up period, 241 (23.1%) of the subjects died and 82 (34.6%) of the deaths were of CV origin. Carotidbruits were a significant risk factor for CV deaths only if subjects with previous CV events were included. After adjusting for age, sex, systolic blood pressure, smoking, diabetes, LDL cholesterol, coronary artery disease and stroke, carotidbruits posed a hazard ratio (HR) (95% confidence interval) of 4.15 (2.39-8.52) p<0.001 for CV deaths. After excluding subjects with previous CV events (after which n = 941) neither carotid nor femoral bruits were statistically associated with CV events or all-cause mortality. Adding carotid or femoral bruits in the baseline risk model with traditional CV risk factors did not improve C
is less effective than the Valsava manoeuvre and has around 1% risk of neurological complications, although these are usually transient. In addition to the same cardiovascular contraindications and precautions as for the modified Valsava manoeuvre, CSM is contraindicated in patients with carotidbruits or recent transient ischaemic attack (TIA) or stroke. As with the modified Valsalva manoeuvre
treatment can decreasethe development and progression of PAD. For example,analyses from the Scandinavian Simvastatin Survival Study(4S), showed that cholesterol lowering with simvastatinreduced the incidence of carotidbruits and cerebrovascularevents, as well as new-onset or worsening of anginapectoris and intermittent claudication [48]. The authorsconcluded that simvastatin may have a general anti-ather