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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
1987-7-8
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pubmed:abstractText |
One hundred forty-nine consecutive patients who had peripheral arterial disease (PAD) with clinically audible asymptomatic bruits were studied. Sixty-two of these patients were age- and sex-matched with 62 PAD patients in whom no bruits were detected. The PAD was demonstrated by angiography or by the 1-minute exercise test. Clinical assessment was performed every 6 months and oculoplethysmography and carotid phonoangiography (OPG/CPA) were performed every year. Angiography and reconstructive surgery were performed only if symptoms of transient ischemic attack (TIA) or stroke occurred. Life-table analysis revealed that over a 5.5-year follow-up, 32% of 211 PAD patients were expected to die. In the control study 45% of bruit patients and 32% of control patients were expected to die (no significant difference). Myocardial infarction accounted for 59% of deaths in the bruit group compared with 28% in the control group (no significant difference). TIA occurred more commonly in the bruit group (26.5%) than in the controls (6%) (p less than 0.02). However, stroke without warning occurred in 9% of bruit patients compared with 8% of controls (no significant difference). It is concluded that for asymptomatic carotid bruit it is safe to wait for the onset of symptoms before angiography and corrective reconstructive surgery.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Jun
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pubmed:issn |
0741-5214
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
5
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
869-73
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:3586184-Actuarial Analysis,
pubmed-meshheading:3586184-Aged,
pubmed-meshheading:3586184-Aged, 80 and over,
pubmed-meshheading:3586184-Auscultation,
pubmed-meshheading:3586184-Carotid Arteries,
pubmed-meshheading:3586184-Carotid Artery Diseases,
pubmed-meshheading:3586184-Cerebrovascular Disorders,
pubmed-meshheading:3586184-Female,
pubmed-meshheading:3586184-Follow-Up Studies,
pubmed-meshheading:3586184-Humans,
pubmed-meshheading:3586184-Ischemic Attack, Transient,
pubmed-meshheading:3586184-Male,
pubmed-meshheading:3586184-Middle Aged,
pubmed-meshheading:3586184-Time Factors
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pubmed:year |
1987
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pubmed:articleTitle |
Management of asymptomatic carotid bruit.
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pubmed:publicationType |
Journal Article
|