Originally Posted by saint90ms
I really appreciate whatever information you can provide for me. Basically, I've had a heart murmur since I was a kid and it's never really been an issue. I've always been monitored by a cardiologist. I am now 40 year old female. I just had my one year PCP appointment and she found a carotid bruit on my right neck. She did not hear it when I was laying down, but heard it very clearly while sitting up. She said that it could be the Mitral Valve/Heart Murmur, but no one has ever picked up on it in the past. I even had a carotid ultrasound done in 2002 for a Free LifeLine Screening that I attended and my carotid arteries were fine. I'm worried that it's not related to the mitral valve and it is something more sinister. Does anyone know more about this. I do not have high blood pressure or cholesterol. Could plaque still build up without having cholesterol, etc... problems????
Thank you very your input. I truly appreciate it
So you do have a heart murmur eh? Do you know which valvular abnormality you have that gives you the heart murmur? Is it mitral valve prolapse or was is it something you required surgery for as a child?
In terms of asymptomatic carotid bruits, they're usually nothing to worry about--even in older individuals who are at higher risk for severe carotid narrowing than you are. Generally an ultrasound will be done and it can detect how much narrowing there is. In young people like yourself, bruits and murmurs can sometimes appear temporarily if you're sick, or you're nervous (i.e. your heart is beating faster), if you're dehydrated etc. etc. In your case, someone who's actually had a normal carotid ultrasound in the relatively recent past, have even more evidence that it's likely nothing to worry about; however, if you have a family history of accelerated atherosclerosis with people having heart attacks, strokes or limb claudication at a young age THEN it's something that needs to be further investigated. The other thing is if you have symptoms of a large vessel vasculitis. It's hard to explain this condition because the symptoms are very non-specific, but if you've been having trouble with NEW headaches, scalp tenderness, soreness in your jaw when you chew, double vision in ONE eye or transient loss of vision in one eye, then the bruit must also be investigated. I'll bet you, though, if you return to the clinic in a month and get re-examined, the bruit will probably be gone.