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In this episode, we review carotid artery stenosis (CAS), including its presentation, diagnosis, medical management, and intervention. Do dizziness, presyncope, or syncope count as symptomatic CAS? What is the definition of nondisabling stroke and transient cerebral ischemic symptoms? What risk factors permit ordering a carotid duplex ultrasound before coronary artery bypass graft surgery? What peak systolic velocity on ultrasound correspond to >=50% and >=70% stenosis of a carotid artery? What antiplatelet regimen is recommended for CAS? In patients with symptomatic CAS, in what time window after the non-disabling stroke or TIA should you perform revascularization? Is there any role for revascularization of severe CAS that is asymptomatic? Tune in for answers to these questions.
Difficulty Level: Easy
You are listening to Hu Said: Cardiology Board Review Series (2024-2025 Season)
Please subscribe, rate, and support the channel! Ads help keep materials free for everyone.
More MedEd resources available at www.rueyhu.com
Updates at Twitter/X: @Ruey_Hu
By Ruey Hu, MD, MPH4.5
1515 ratings
In this episode, we review carotid artery stenosis (CAS), including its presentation, diagnosis, medical management, and intervention. Do dizziness, presyncope, or syncope count as symptomatic CAS? What is the definition of nondisabling stroke and transient cerebral ischemic symptoms? What risk factors permit ordering a carotid duplex ultrasound before coronary artery bypass graft surgery? What peak systolic velocity on ultrasound correspond to >=50% and >=70% stenosis of a carotid artery? What antiplatelet regimen is recommended for CAS? In patients with symptomatic CAS, in what time window after the non-disabling stroke or TIA should you perform revascularization? Is there any role for revascularization of severe CAS that is asymptomatic? Tune in for answers to these questions.
Difficulty Level: Easy
You are listening to Hu Said: Cardiology Board Review Series (2024-2025 Season)
Please subscribe, rate, and support the channel! Ads help keep materials free for everyone.
More MedEd resources available at www.rueyhu.com
Updates at Twitter/X: @Ruey_Hu

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