Joshua Lynfield, MD
To the Editor: The thoughtful position paper by the Health and Public Policy Committee of the American College of Physicians relating to diagnostic evaluation of the carotid arteries (1) concludes that "routine diagnostic testing for carotid artery disease is not recommended in patients with asymptomatic neck bruits." The preceding paragraph states, however, that "pending the results of on-going prospective clinical trials, decisions for or against diagnostic testing of such patients must be individualized." This recommendation is confusing for the practicing physician—should he or she do diagnostic testing? How can the physician identify the asymptomatic patients who are at
Lynfield J. Carotid Endarterectomy. Ann Intern Med. ;111:443–444. doi: 10.7326/0003-4819-111-5-443
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Published: Ann Intern Med. 1989;111(5):443-444.
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