A soft bruit over the carotid area in a 60-year-old male with a history of hypertension increases the risk for which condition?

A soft bruit over the carotid area, particularly in a 60-year-old male with a history of hypertension, is indicative of turbulent blood flow which is often associated with atherosclerosis in the carotid arteries. This condition significantly increases the risk of both stroke and coronary heart disease.

The presence of a bruit suggests that there may be narrowing in the arteries due to plaque buildup, which can lead to decreased blood flow to the brain, increasing the risk of ischemic stroke. Additionally, atherosclerosis also plays a major role in coronary heart disease by limiting blood supply to the heart muscle, leading to potential heart attacks and other cardiac complications.

While other options may mention different symptoms or conditions, they do not specifically highlight the direct link between the bruit, atherosclerosis, and the increased risk of stroke and coronary heart disease. Understanding the implications of a carotid bruit in a patient with a history of hypertension emphasizes the need for further cardiovascular assessment and management.