Supraclavicular and carotid bruits in hemodialysis patients.
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.
D000328:Adult; D000368:Aged; D001021:Aortic Valve / Q000503:physiopathology; D001166:Arteriovenous Shunt, Surgical; D001314:Auscultation; D001794:Blood Pressure; D002339:Carotid Arteries / Q000503:physiopathology; D002340:Carotid Artery Diseases / Q000503:physiopathology*; D005542:Forearm / Q000098:blood supply; D006326:Heart Auscultation; D006337:Heart Murmurs; D006801:Humans; D008297:Male; D008875:Middle Aged; D011664:Pulmonary Valve / Q000503:physiopathology; D006435:Renal Dialysis; D013348:Subclavian Artery / Q000503:physiopathology*