Cardiovascular Medicine Book




Carotid Bruit

Aka: Carotid Bruit
  1. See Also
    1. Carotid Stenosis
  2. Exam
    1. See Bruit
    2. Findings in which Carotid Bruit is more suggestive of significant carotid lesion
      1. Diastolic component is the only characteristic reliably specific for significant Carotid Bruit
      2. Carotid Bruit AND symptoms suggestive of Carotid Stenosis
    3. Degree of stenosis by atherosclerotic Plaque
      1. Minimum stenosis causing bruit: 50% (<3 mm lumen)
      2. Prolonged, high-pitched bruit: >75% (1.5 mm lumen)
    4. Location
      1. Plaque involves posterior wall of common carotid
      2. Affects bifurcation and flow into internal carotid
      3. Risk of distal thrombus formation in internal carotid
  3. Differential Diagnosis
    1. Carotid Stenosis
    2. Cardiac Murmur transmission
    3. External Carotid Stenosis
    4. Venous Hum
    5. Tortuous Arteries
  4. Interpretation
    1. Carotid Bruit associated risk of stroke at 1 year
    2. Asymptomatic Carotid Bruit: 1% risk at 1 year
    3. Transient Ischemic Attack history: 1.7% risk
    4. Other studies question bruit significance
  5. Efficacy
    1. Carotid Bruit has poor efficacy
    2. Test Sensitivity: 40% for those with >50% Carotid Stenosis
    3. False Positives: 10% with Carotid Bruits have <50% Carotid Stenosis
  6. References
    1. Brown (2017) Stroke and Cerebrovascular Disease Update, Mayo Clinical Reviews, Rochester
    2. Firnhaber (2022) Am Fam Physician 105(1): 65-72 [PubMed]

Carotid bruit (C0007280)

Concepts Finding (T033)
SnomedCT 419642000
Spanish soplo carotídeo (hallazgo), soplo carotídeo, Ruido carotídeo
Italian Rumore carotideo
Japanese 頚動脈雑音, ケイドウミャクザツオン
English carotid bruit (physical finding), carotid bruit, artery bruits carotid, bruit carotid artery, Bruit;carotid, carotid artery bruit, carotid bruits, bruits carotid, artery bruit carotid, bruit carotid, Carotid bruit, Carotid bruit (finding)
Czech Karotický šelest
Hungarian Carotis zörej
Portuguese Sopro carotídeo
Dutch carotisgeruis
French Souffle carotidien
German Karotis-Geraeusch
Derived from the NIH UMLS (Unified Medical Language System)

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