Thomas Rea, MD
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Rea T. The Role of Carotid Bruit in Screening for Carotid Stenosis. Ann Intern Med. 1997;127:657. doi: 10.7326/0003-4819-127-8_Part_1-199710150-00032
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Published: Ann Intern Med. 1997;127(8_Part_1):657.
TO THE EDITOR:
I concur with Lee and colleagues'  careful evaluation and discussion of the cost-effectiveness of screening for carotid stenosis in asymptomatic persons. However, I wonder whether the authors considered the clinical question of importance: Would screening only persons with carotid bruits be cost-effective? Auscultation of the carotid arteries is a simple, safe, and inexpensive maneuver. In addition, the presence of a neck bruit is a fairly reproducible finding on physical examination . Thus, could the presence of a carotid bruit initially and appropriately narrow the asymptomatic target population?
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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