Carotid bruits as a prognostic indicator of cardiovascular death and myocardial infarction: a meta-analysis

Peripheral Artery Disease: Current Insight Into the Disease and Its Diagnosis and Management

“…44 Not only are bruits a clue to a potentially severe stenosis, but it has been shown in a recent meta-analysis involving 17,295 patients with 62,313 patient-years that the yearly MI rate and yearly cardiovascular death rate were 2 times greater in patients with than in those without carotid bruits. 45 The abdominal aorta should be palpated in all patients; if enlarged, the patient should undergo abdominal ultrasonography. The femoral, popliteal, dorsalis pedis, and posterior tibial arteries should be palpated and described as normal [2+], diminished [1+], or absent [0].…”

2011 ASA/ACCF/AHA/AANN/AANS/ACR/ASNR/CNS/SAIP/SCAI/SIR/SNIS/SVM/SVS Guideline on the Management of Patients With Extracranial Carotid and Vertebral Artery Disease: Executive summary

“…77 Because carotid ultrasonography is widely available and is associated with negligible risk and discomfort, the issue is appropriate resource utilization.…”

Impact of Carotid Atherosclerosis on the Risk of Adverse Cardiac Events in Patients With and Without Coronary Disease

“…[1][2][3][4] In fact, progressive carotid artery stenosis (CAS) is reportedly a stronger predictor of imminent myocardial infarction (MI) than of future stroke events. 5 Previous outcome studies relating the presence of atherosclerotic carotid artery lesions to the risk of future coronary events have varied methodologically in the definition of carotid atherosclerosis (CA) and CAD.…”