MRCP UK EXAMINATIONS

CARDIOLOGY

MIXED AORTIC VALVE DISEASE

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A patient with carotid artery disease is at high risk for what complication?
A
Bradycardia
B
Stroke
C
Hypertension
D
Neck pain
Explanation: 

Detailed explanation-1: -Carotid artery stenosis can cause a stroke. The kind of stroke that usually happens from carotid stenosis is pieces of plaque (or platelets that form on plaque) travel to your brain. Called “ischemic” stroke, it cuts off blood supply to a portion of your brain.

Detailed explanation-2: -Carotid artery disease is a common cause of stroke, and up to 15% of all ischaemic strokes in the UK may be due to this condition. It’s usually discovered after you have a stroke or transient ischaemic attack (TIA or mini-stroke).

Detailed explanation-3: -Injury to the artery may be due to either penetrating or blunt trauma. When the trauma is penetrating, exsanguination and hematoma formation can quickly compromise the airway. When the carotid artery is injured bluntly, the sudden trauma usually initiates an intimal dissection and/or a hematoma formation.

Detailed explanation-4: -Conclusions. Patients with transient or slightly disabling symptoms of retinal or cerebral ischemia ipsilateral to carotid occlusion have a risk of ischemic stroke of approximately 5.5% per year; the risk of ipsilateral ischemic stroke is 2.1% per year, and the annual death rate is approximately 6.3% per year.

There is 1 question to complete.