Carotid Bruits and Cerebrovascular Disease Risk: A Meta-Analysis

摘要: Background and Purpose—Current guidelines recommend against routine auscultation of carotid arteries, believing that bruits are poor predictors either underlying stenosis or stroke risk in asymptomatic patients. We investigated whether the presence a bruit is associated with increased for transient ischemic attack, stroke, death by (stroke death). Methods—We searched Medline (1966 to December 2009) EMBASE (1974 terms “carotid” “bruit.” Bibliographies all retrieved articles were also searched. Articles included if they prospectively reported incidence adults. Two authors independently reviewed extracted data. Results—We 28 prospective cohort followed total 17 913 patients 67 708 patient-years. Among studies directly compared without bruits, rate ratio attack was ...