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III. Articles and Features of General Interest

A clinical vignette: the clinical significance of systolic-diastolic bruits in the carotid arteries

Robert A. Graor, M.D., Victor G. de Wolfe, M.D. and Ian Elliott, M.D.
Cleveland Clinic Journal of Medicine March 1984, 51 (1) 155-158;
Robert A. Graor
Department of Peripheral Vascular Disease, The Cleveland Clinic Foundation
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Victor G. de Wolfe
Department of Peripheral Vascular Disease, The Cleveland Clinic Foundation
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Ian Elliott
Departments of Endocrinology, The Cleveland Clinic Foundation
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ABSTRACT

Most authorities agree that an arterial bruit that extends into diastole usually indicates severe stenosis in the underlying artery. Less well known is that a systolic-diastolic bruit at the carotid artery bifurcation indicates that, not only is the underlying artery severely narrowed, but the contralateral carotid artery is also frequently severely stenosed or occluded. In 1956, Myers described systolic-diastolic bruits in the aortic arch syndrome and suggested the hemodynamic etiology. The severity of the lesions in 40 patients with a systolic-diastolic bruit seen at The Cleveland Clinic Foundation over a one year period was checked by reviewing the corresponding arteriograms. Ipsilateral to the bruit, 88% of the carotid arteries were narrowed by greater than 70%. On the side contralateral to the bruit, 80% of the carotid arteries were narrowed by greater than 70%. These studies confirm that a systolicdiastolic bruit often indicates severe bilateral carotid artery disease.

Index terms
  • Bruit
  • Carotid arteries
  • stenosis
  • Received August 1983.
  • Accepted November 1983.
  • Copyright © 1984 The Cleveland Clinic Foundation. All Rights Reserved.
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Cleveland Clinic Journal of Medicine: 51 (1)
Cleveland Clinic Journal of Medicine
Vol. 51, Issue 1
20 Mar 1984
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A clinical vignette: the clinical significance of systolic-diastolic bruits in the carotid arteries
Robert A. Graor, Victor G. de Wolfe, Ian Elliott
Cleveland Clinic Journal of Medicine Mar 1984, 51 (1) 155-158;

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A clinical vignette: the clinical significance of systolic-diastolic bruits in the carotid arteries
Robert A. Graor, Victor G. de Wolfe, Ian Elliott
Cleveland Clinic Journal of Medicine Mar 1984, 51 (1) 155-158;
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Keywords

  • Bruit
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  • stenosis

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