[et_pb_section fb_built=”1″ _builder_version=”4.23.4″ _module_preset=”default” global_colors_info=”{}”][et_pb_row _builder_version=”4.23.4″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.23.4″ _module_preset=”default” global_colors_info=”{}”][et_pb_audio title=”Let’s do a quick recap of the patient presented in chapter 1.” _builder_version=”4.23.4″ _module_preset=”default” global_colors_info=”{}”][/et_pb_audio][et_pb_text _builder_version=”4.23.4″ _module_preset=”default” global_colors_info=”{}”]
A 65-year-old woman with the following cardiovascular Risk Factors:
- Former smoker
- Hypertension
- Type 2 Diabetes Mellitus
- Hypercholesterolemia
Vascular History:
- Fontaine stage IIb peripheral arterial disease (PAD) because of left femoro-popliteal occlusion.
Physical Exam:
- Right carotid bruit, no other neurological symptoms.
[/et_pb_text][et_pb_divider _builder_version=”4.23.4″ _module_preset=”default” global_colors_info=”{}”][/et_pb_divider][et_pb_image _builder_version=”4.23.4″ _module_preset=”default” global_colors_info=”{}”][/et_pb_image][et_pb_audio title=”Right Carotid: intimal thickening of the common carotid artery with a plaque in the internal carotid artery that conditions a 60% stenosis Left Carotid: atheromatous plaque in the common carotid artery that extends to the internal carotid artery with a PSV of 230 cm/seg and an EDV of 120 cm/seg conditioning an stenosis of 75-80%. Previous DUS showed a bilateral carotid artery stenosis with PSV 200 cm/seg and EDV of 90 cm/seg conditioning an stenosis between of 50-69%” _builder_version=”4.23.4″ _module_preset=”default” global_colors_info=”{}”][/et_pb_audio][et_pb_divider _builder_version=”4.23.4″ _module_preset=”default” global_colors_info=”{}”][/et_pb_divider][et_pb_image _builder_version=”4.23.4″ _module_preset=”default” global_colors_info=”{}”][/et_pb_image][et_pb_audio title=”Calcification of the aortic arch as well as the ostium of the supraaortic branches non conditioning of stenosis. Atheromatous plaques in both carotid bifurcations that extends to both internal carotid arteries with a stenosis of the lumen of 60% for the right ICA and 75% for the left ICA. No significant stenosis in the intracranial portion of both carotid arteries. Both vertebral arteries are patent with no significant stenosis. ” _builder_version=”4.23.4″ _module_preset=”default” global_colors_info=”{}”][/et_pb_audio][et_pb_divider _builder_version=”4.23.4″ _module_preset=”default” global_colors_info=”{}”][/et_pb_divider][et_pb_text _builder_version=”4.23.4″ _module_preset=”default” global_colors_info=”{}”]
Other relevant tests
BP: 125/80 mmHg
HR: 75 bpm
BMI: 30
Latest Bloodwork
|
Parameter |
Result |
Range |
|
Hemoglobin |
13.40 g/dL |
12.50-15.50 |
|
Platelets |
255.000 10^9/L |
150,00-400,00 |
|
Triglycerides |
167 mg/dL |
<150 |
|
Total Cholesterol |
180 mg/dL |
<200 |
|
HDL Cholesterol |
60 mg/dL |
Higher risk >45 mg/dL |
|
Non-HDL Cholesterol |
120 mg/dL |
0-130 |
|
LDL Cholesterol |
90 mg/dL |
|
[/et_pb_text][et_pb_divider _builder_version=”4.23.4″ _module_preset=”default” global_colors_info=”{}”][/et_pb_divider][et_pb_text _builder_version=”4.23.4″ _module_preset=”default” global_colors_info=”{}”]
Patient takes the following medication
- Aspirin 100 mg/day
- Atorvastatin 40 mg/day
- Ezetimibe 10 mg/day
- Bisoprolol 2.5 mg/day
- Vortioxetine 20 mg/day
Salbutamol 2 puffs If needed
[/et_pb_text][et_pb_divider _builder_version=”4.23.4″ _module_preset=”default” global_colors_info=”{}”][/et_pb_divider][et_pb_audio title=”You start with an evaluation of cardiovascular risk management; we can find the latest guidelines on best medical therapy in the 2023 ESVS guidelines on carotid pathology. Let’s take a look: ” _builder_version=”4.23.4″ _module_preset=”default” global_colors_info=”{}”][/et_pb_audio][et_pb_code _builder_version=”4.23.4″ _module_preset=”default” global_colors_info=”{}”]
[/et_pb_code][et_pb_audio title=”In this patient we can see she’s on the adequate antiplatelet therapy and cholesterol lowering therapy and her blood pressure is well controlled. You explain the need for and the benefits of cardiovascular risk management and discuss her sedentary lifestyle. ” _builder_version=”4.23.4″ _module_preset=”default” global_colors_info=”{}”][/et_pb_audio][et_pb_button _builder_version=”4.23.4″ _module_preset=”default” button_text=”WHICH DUPLEX ULTRASOUND? ALL HERE:” url_new_window=”on” button_url=”https://drive.google.com/drive/folders/1qhgN7nzH4nfoEZ6JAQ5hxWIiChvhchuJ” hover_enabled=”0″ sticky_enabled=”0″][/et_pb_button][et_pb_button _builder_version=”4.23.4″ _module_preset=”default” button_text=”WHICH ANGIOCT? ALL HERE:” url_new_window=”on” button_url=”https://drive.google.com/drive/folders/1LVtBe-wLqOQiN9BWqC-UoGvH1wlJsiRb” hover_enabled=”0″ sticky_enabled=”0″][/et_pb_button][/et_pb_column][/et_pb_row][/et_pb_section]
