Management of the asymptomatic @entity3538 remains a controversial subject. The purpose of this study is to determine whether or not such bruits are important risk factors in the evolution of @entity64 . Since April 1977, 87 @entity1 with 131 asymptomatic carotid bruits were evaluated with the Gee oculoplethysmography (OPG). Eleven bruits (8.4%) were @entity10479 (ophthalmic artery/brachial artery systolic pressure index below 0.69 or a difference of 5 mm Hg or more between the eyes). The @entity1 were reevaluated at 6-month intervals. The mean follow-up was 34 months (range, 1-60 months). During this period, 14 bruits (11.6%) that initially were @entity10479 ( @entity10479 ) later became @entity10479 ( @entity10479 ). @entity1 with asymptomatic carotid bruits had a @entity64 incidence of 10.3 per cent. @entity1 with @entity10479 bruits had a @entity64 incidence of 24 per cent and a @entity63 ( @entity63 ) incidence of 16 per cent, which were significantly higher (P greater than 0.01) compared to the @entity1 with @entity10479 bruits (4.8% incidence of @entity64 and 3.2% incidence of @entity63 ). Nine @entity1 (10.3%) developed @entity64 without antecedent @entity63 and six @entity1 (6.9%) developed @entity63 . The @entity64 occurred in the cerebral hemisphere supplied by the carotid artery with @entity10479 bruit in three of six @entity1 . The @entity64 in three @entity1 with @entity10479 bruits were on the same side of the bruits. The TIAs developed in four @entity1 with @entity10479 bruits and in two @entity1 with @entity10479 bruits. The authors conclude that the @entity1 with an asymptomatic @entity10479 @entity3538 has a high risk of developing a @entity64 and that surgical treatment is warranted.

The asymptomatic XXXX .

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient'] @entity64 :: ('MESH:D020521', 'Disease') :: ['strokes', 'stroke'] @entity10479 :: ('MESH:D065309', 'Disease') :: ['hemodynamically significant', 'HS', 'nonhemodynamically significant', 'NHS'] @entity63 :: ('MESH:D007511', 'Disease') :: ['transient ischemic attack', 'TIA'] @entity3538 :: ('MESH:D002341', 'Disease') :: ['carotid bruit']
@entity3538 :: (MESH:D002341,Disease) :: ['carotid bruit']
