Are carotid thickening and carotid plaque the same thing?

Nov 15, 2023 Source: Cainiu Health
Dr. Jiang Chenggang
Introduction
In general, carotid thickening and carotid plaque are not the same thing. Carotid thickening is an early manifestation of carotid plaque formation, and therefore they are not equivalent. Carotid thickening occurs as a precursor to plaque development, often due to prolonged high blood lipid levels. In contrast, carotid plaque represents the presence of carotid atherosclerosis.

In general, carotid thickening and carotid plaque are not the same thing. Carotid thickening is an early precursor to carotid plaque formation; therefore, they are not equivalent. The specific analysis is as follows:

Carotid thickening represents the preliminary stage of carotid plaque development. Prolonged high blood lipid levels in the body can lead to carotid thickening. In contrast, carotid plaque is a manifestation of atherosclerosis, commonly occurring at the bifurcation of the common carotid artery. It is closely associated with ischemic stroke in elderly individuals. Furthermore, the size and morphology of carotid plaques may affect the degree of vascular stenosis and blood flow, thereby influencing cerebral perfusion. Therefore, carotid thickening and carotid plaque are not the same condition.

When carotid thickening is detected, it is essential to identify and address the underlying cause. In most cases, it is caused by hyperlipidemia. Taking lipid-lowering medications can reduce blood fat levels, thus helping to alleviate or halt further intimal thickening of the carotid arteries.

If patients experience any symptoms or discomfort, they should promptly seek medical attention at a hospital to avoid delays in diagnosis and treatment.


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