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Warning-sign checks

Carotid artery disease: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Seek emergency help for sudden weakness, numbness, facial drooping, speech difficulty, confusion, vision loss, severe imbalance, or another possible stroke symptom.

    After a neck procedure, rapidly increasing swelling or trouble breathing is also an emergency.

    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Tell the treating clinician promptly about new medication side effects, unusual bleeding, or changes in exercise tolerance.

    Contact the team promptly for increasing neck swelling, wound drainage, fever, worsening pain, or a new lump near the procedure site.

  3. 3

    Does any of this apply?

    Book an appointment

    Follow-up care is used to monitor symptoms, risk factors, medicines, and the artery itself.

    Visits may include blood pressure checks, cholesterol or diabetes testing, medication review, and support with tobacco cessation, nutrition, or activity.

    New but non-sudden concerns can usually be discussed through routine or expedited outpatient follow-up.

The article also says

Repeat carotid ultrasound may be appropriate for some people.

The timing depends on the degree of narrowing, whether it has changed, and whether surgery or stenting was performed.

Not everyone needs imaging at the same interval.

After carotid surgery or stenting, follow the procedure team’s instructions for wound care, activity, and medicines.

Every sign above is quoted from the sofidex article on Carotid artery disease. If you are not sure, err upward — it is always reasonable to be checked.