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Supraclavicular and carotid bruits in hemodialysis patients
Author(s) -
Messert Bernard,
Marra Thomas R.,
Zerofsky Ronald A.
Publication year - 1977
Publication title -
annals of neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.764
H-Index - 296
eISSN - 1531-8249
pISSN - 0364-5134
DOI - 10.1002/ana.410020616
Subject(s) - medicine , auscultation , hemodialysis , cardiology , circulatory system , precordial examination , incidence (geometry) , electrocardiography , physics , optics
Auscultation of the neck vessels in patients receiving chronic hemodialysis reveals a high incidence of subclavian and carotid bruits as well as the expected precordial hemic murmurs. These bruits are associated with the high‐output hyperdynamic circulatory state. In older patients the finding could be misinterpreted as evidence of extracranial cerebrovascular disease, but clinical considerations should obviate unnecessary neuroradiological diagnostic procedures.