Endarterectomy for 50% or More Stenosis Without Symptoms
If you have 50% or more carotid stenosis (narrowing) but no symptoms,
such as a previous TIA or mild stroke, the benefit may not be great enough to
risk potential complications from surgery. Your doctor may recommend surgery
only if you have moderate to severe narrowing and a low risk of complications
from the surgery.
The American Heart Association recommends treatment with medicine
for people in this category.1
Doctors call it the "Hollywood heart attack": a middle-aged man breaks into
a cold sweat, grimaces, and clutches his chest-just like in the movies. Trouble
is, in real life, heart attack symptoms don't always announce themselves so
dramatically. More often they are insidious and puzzling, such as unexplained
fatigue or abdominal discomfort, and many people wait for hours before seeking
Big mistake, doctors tell WebMD. The ability to quickly spot signs of heart
attack, angina, and stroke...
Biller J, et al. (1998). Guidelines for carotid endarterectomy: A statement for healthcare professionals from a special writing group of the Stroke Council, American Heart Association. Circulation, 97(5): 501–509. Also available online: http://circ.ahajournals.org/content/97/5/501.full.
Primary Medical Reviewer
E. Gregory Thompson, MD - Internal Medicine
Specialist Medical Reviewer
Karin M. Lindholm, DO - Neurology
January 3, 2013
WebMD Medical Reference from Healthwise
January 03, 2013
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