This does not make sense. My PCP found a loud bruit in my mid-lower neck about a month ago during a routine PE. She said it was very loud and was concerning. She immediately sent me for a doppler which she said was normal. But when I received the report yesterday is says "bilateral mild carotid artery stenosis". Both sides say that there is internal thickening <50%. Right EDV 32, Left EDV 25. Not sure why she said it's normal.
About 3 weeks ago I had an echo which showed severe mitral regurgitation. The cardiolgoist immediately told me I needed repair surgery. The echo went from mild back in 2004-2007 to severe now. Just last Friday he sent me for TEE which showed mild regurgitation. Now I don't need surgery.
Today my PCP listened to the bruit again thinking it would be there loud and clear. she was shocked to find out that it is no longer there. She listened for a lengthy amount of time to tring to find it .....she even had another doctor come into the room, but definitely not there. She was baffled. I'm going for a CTA of neck/head. What's going on??? Could this be something bad going like something embolic/aneurysm? I am otherwise a healthy 40 year old woman, no high blood pressure, cholesterol, great weight, etc. I am have been on such an emotional rollercoaster the last 5 weeks!!! UUGH
I thank you so much for taking the time to read my post and to provide me some insight and information.
A loud murmur does not always imply severe stenosis:so when he first heard it he normally obtained a carotid ultrasound, but luckily the stenosis was not severe enough to warrant intervention. You should still be on a statin (cholesterol lowering medication) to prevent further progression and an aspirin daily.
A surface echocardiogram is not the best test to diagnose mitral regurgitation, but an invasive test like a TEE is not always practical. In your case the better test showed not severe disease and so you do not need surgery.
I am not sure why the murmur disappeared, maybe your blood pressure or pulse changed in some way as to make it inaudible; I don't know but you should probably ask the physician who examined you.
Copyright 1994-2018MedHelp.All rights reserved. MedHelp is a division of Vitals Consumer Services, LLC.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.