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Carotid bruit

MedGen UID:
507527
•Concept ID:
C0007280
•
Finding
Synonym: Carotid Bruit
SNOMED CT: Carotid bruit (419642000)

Definition

An innocent murmur with a medium pitched, harsh character heard at the right or left upper sternal border, supraclavicular region, or anterior portion of the lower neck that disappears with bilateral shoulder hyperextension. (ACC-AHA) [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVCarotid bruit

Professional guidelines

PubMed

Evaluation of the clinical utility of a carotid bruit.
McColgan P, Bentley P, McCarron M, Sharma P
QJM 2012 Dec;105(12):1171-7. Epub 2012 Aug 11 doi: 10.1093/qjmed/hcs140. PMID: 22886230
Primary care for tinnitus: practice and opinion among GPs in England.
El-Shunnar SK, Hoare DJ, Smith S, Gander PE, Kang S, Fackrell K, Hall DA
J Eval Clin Pract 2011 Aug;17(4):684-92. Epub 2011 Jun 26 doi: 10.1111/j.1365-2753.2011.01696.x. PMID: 21707872Free PMC Article
Management of patients with asymptomatic neck bruits and carotid stenosis.
Bornstein NM, Norris JW
Neurol Clin 1992 Feb;10(1):269-80. PMID: 1557007

Recent clinical studies

Etiology

Accidental Heart Murmurs.
Begic E, Begic Z
Med Arch 2017 Aug;71(4):284-287. doi: 10.5455/medarh.2017.71.284-287. PMID: 28974851Free PMC Article
Carotid bruit for detection of hemodynamically significant carotid stenosis: the Northern Manhattan Study.
Ratchford EV, Jin Z, Di Tullio MR, Salameh MJ, Homma S, Gan R, Boden-Albala B, Sacco RL, Rundek T
Neurol Res 2009 Sep;31(7):748-52. Epub 2009 Jan 7 doi: 10.1179/174313209X382458. PMID: 19133168Free PMC Article
Diabetes and stroke.
Karsito, Soeatmadji DW
Acta Med Indones 2008 Jul;40(3):151-8. PMID: 18838754
Asymptomatic carotid bruit.
Fareleira F, Julião M, Roque A, Carneiro AV
Rev Port Cardiol 2005 Feb;24(2):285-94. PMID: 15861909
Carotid artery disease and stroke during coronary artery bypass: a critical review of the literature.
Naylor AR, Mehta Z, Rothwell PM, Bell PR
Eur J Vasc Endovasc Surg 2002 Apr;23(4):283-94. doi: 10.1053/ejvs.2002.1609. PMID: 11991687

Diagnosis

Accidental Heart Murmurs.
Begic E, Begic Z
Med Arch 2017 Aug;71(4):284-287. doi: 10.5455/medarh.2017.71.284-287. PMID: 28974851Free PMC Article
Carotid bruit: a review.
Rich K
J Vasc Nurs 2015 Mar;33(1):26-7. doi: 10.1016/j.jvn.2014.12.002. PMID: 25700735
Carotid bruit for detection of hemodynamically significant carotid stenosis: the Northern Manhattan Study.
Ratchford EV, Jin Z, Di Tullio MR, Salameh MJ, Homma S, Gan R, Boden-Albala B, Sacco RL, Rundek T
Neurol Res 2009 Sep;31(7):748-52. Epub 2009 Jan 7 doi: 10.1179/174313209X382458. PMID: 19133168Free PMC Article
Diabetes and stroke.
Karsito, Soeatmadji DW
Acta Med Indones 2008 Jul;40(3):151-8. PMID: 18838754
Carotid bruit or carotid stenosis: what is the significance?
Zarins CK
JAMA 1981 Apr 10;245(14):1462. PMID: 7206151

Therapy

Trends in Low-Value Carotid Imaging in the Veterans Health Administration From 2007 to 2016.
Anderson TS, Leonard S, Zhang AJ, Madden E, Mowery D, Chapman WW, Keyhani S
JAMA Netw Open 2020 Sep 1;3(9):e2015250. doi: 10.1001/jamanetworkopen.2020.15250. PMID: 32886120Free PMC Article
Evaluation of the clinical utility of a carotid bruit.
McColgan P, Bentley P, McCarron M, Sharma P
QJM 2012 Dec;105(12):1171-7. Epub 2012 Aug 11 doi: 10.1093/qjmed/hcs140. PMID: 22886230
Carotid bruits as a prognostic indicator of cardiovascular death and myocardial infarction: a meta-analysis.
Pickett CA, Jackson JL, Hemann BA, Atwood JE
Lancet 2008 May 10;371(9624):1587-94. doi: 10.1016/S0140-6736(08)60691-1. PMID: 18468542
Screening and preoperative imaging of candidates for carotid endarterectomy.
Fujitani RM, Kafie F
Semin Vasc Surg 1999 Dec;12(4):261-74. PMID: 10651455
The role of duplex carotid sonography, digital subtraction angiography, and arteriography in the evaluation of transient ischemic attack and the asymptomatic carotid bruit.
Jacobs NM, Grant EG, Schellinger D, Cohan SL, Byrd MC
Med Clin North Am 1984 Nov;68(6):1423-50. doi: 10.1016/s0025-7125(16)31070-7. PMID: 6392771

Prognosis

Carotid bruit for detection of hemodynamically significant carotid stenosis: the Northern Manhattan Study.
Ratchford EV, Jin Z, Di Tullio MR, Salameh MJ, Homma S, Gan R, Boden-Albala B, Sacco RL, Rundek T
Neurol Res 2009 Sep;31(7):748-52. Epub 2009 Jan 7 doi: 10.1179/174313209X382458. PMID: 19133168Free PMC Article
Diabetes and stroke.
Karsito, Soeatmadji DW
Acta Med Indones 2008 Jul;40(3):151-8. PMID: 18838754
Asymptomatic carotid bruit.
Fareleira F, Julião M, Roque A, Carneiro AV
Rev Port Cardiol 2005 Feb;24(2):285-94. PMID: 15861909
Carotid artery disease and stroke during coronary artery bypass: a critical review of the literature.
Naylor AR, Mehta Z, Rothwell PM, Bell PR
Eur J Vasc Endovasc Surg 2002 Apr;23(4):283-94. doi: 10.1053/ejvs.2002.1609. PMID: 11991687
Amaurosis fugax.
Mungas JE, Baker WH
Stroke 1977 Mar-Apr;8(2):232-5. doi: 10.1161/01.str.8.2.232. PMID: 847787

Clinical prediction guides

Evaluation of the clinical utility of a carotid bruit.
McColgan P, Bentley P, McCarron M, Sharma P
QJM 2012 Dec;105(12):1171-7. Epub 2012 Aug 11 doi: 10.1093/qjmed/hcs140. PMID: 22886230
Carotid bruit for detection of hemodynamically significant carotid stenosis: the Northern Manhattan Study.
Ratchford EV, Jin Z, Di Tullio MR, Salameh MJ, Homma S, Gan R, Boden-Albala B, Sacco RL, Rundek T
Neurol Res 2009 Sep;31(7):748-52. Epub 2009 Jan 7 doi: 10.1179/174313209X382458. PMID: 19133168Free PMC Article
Diabetes and stroke.
Karsito, Soeatmadji DW
Acta Med Indones 2008 Jul;40(3):151-8. PMID: 18838754
Asymptomatic carotid bruit.
Fareleira F, Julião M, Roque A, Carneiro AV
Rev Port Cardiol 2005 Feb;24(2):285-94. PMID: 15861909
Amaurosis fugax.
Mungas JE, Baker WH
Stroke 1977 Mar-Apr;8(2):232-5. doi: 10.1161/01.str.8.2.232. PMID: 847787

Recent systematic reviews

Carotid artery disease and stroke during coronary artery bypass: a critical review of the literature.
Naylor AR, Mehta Z, Rothwell PM, Bell PR
Eur J Vasc Endovasc Surg 2002 Apr;23(4):283-94. doi: 10.1053/ejvs.2002.1609. PMID: 11991687

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