My son had a carotid doppler done today. He is 23, otherwise healthy, but has had complaints of chest pain intermittedly for 4 years, with spells of syncope and near-syncope. Recently, he also complained of having slurred speech. He has also at times, complained of numbness to his left forearm.
The doppler showed no plaque in the carotids. It did state, however, that "the carotids have a diffusely elevated velocity, but the arterial waveforms have a normal appearance. Does the patient have systemic hypertension?"
He has been to a Cardiologist, and has had an Echo, TEE, Stress Test, EKG's, EEG's, and has worn a Haltor Monitor for 30 days, with no indication of cardiac problems at all. His B/P's are 90's over 40's, with a heart rate in the 60's. He is NOT hypertensive.
Is there any other explanation for this result? Should we pursue other tests? There has been a mention of a Tilt-Table test.
My son is not overweight. He's 5' 11" and weighs 145 lbs. He does apartment meintenance, not a high-stress job, but physical. HELP!!!