Prevention of Diseases Indicated by a Carotid Ultrasound
In the subject of prevention as related to the applications of carotid ultrasound, prevention is for the disease for which carotid ultrasound is indicated: atherosclerosis. Atherosclerosis involving the carotid artery can cause plaques and thrombus-formation that narrow the lumen and alter the flow of blood to the brain and/or release thrombi to distal arterial branches to cause ischemic stroke.
Prevention involves discerning and managing risk factors for the etiologies of carotid disease:
- Treat hypertension with weight loss, diet, exercise, and anti-hypertensive medication.
- Treat metabolic syndrome with weight loss, diet/nutrition consultation, and exercise.
- Treat dyslipidemia (elevated LDC-cholesterol, low HDL-cholesterol, and elevated triglycerides) with statin drugs.
- Strict glycemic control in diabetics.
- Scrupulous surveillance of those with carotid disease, history of TIAs or stroke, cardiovascular disease, hypertension, hyperglycemia, and those with a family history of cardiovascular disease.
- Smoking cessation.
- Prevention of Carotid Disease Progression
- Carotid ultrasound screening for those with carotid disease, history of TIAs or stroke, cardiovascular disease, hypertension, hyperglycemia, and those with a family history of cardiovascular disease.
- Medical management.
- Surgical management with carotid endarterectomy or carotid stenting.
- Postoperative carotid ultrasound.