Ultrasound of Neck Predicts Who Will Have a Stroke
Study Shows Ultrasound Can Determine Stroke Risk Even if Patients Have No Symptoms
Itzhak Kronzon, a cardiologist at Lenox Hill Hospital in New York, says evaluation for patients with ACS starts with taking a thorough medical history including neurological exam. "If you have ACS, the likelihood of a stroke is small, but if you do have a stroke, it is devastating."
The Doppler test is not a standard part of assessing stroke risk in people with ACS, and Kronzon doesn't think it should be widely recommended based on these study results. More study is needed before this becomes common practice, he says.
In an accompanying editorial, Lars Marquardt, MD, the University of Erlangen-Nuremberg in Germany, writes that overall risk of stroke among people with ACS is relatively low and has decreased due to better management through cholesterol and high blood pressure drugs in recent years.
"If techniques like the one presented by [study researcher] Topekian are confirmed to be able to detect patients that have a higher than normal risk of stroke, screening of patients with this technique seems necessary," he writes in an email to WebMD.