Hello
Thanks for writing to HCM
Ichronic small vessel ischemic changes are due to chronic microvascular ischemic changes resulting from involvement of small blood vessels.Atherosclerotic calcification of the visualized distal internal carotid arteries and distal left
vertebral artery are also related to
long standing hypertension,dyslipidemia,
diabetes mellitus .
Ischemic changes resulting from blood vessels changes in diseases like hypertension,diabetes mellitus,dyslipidemia.
So,you need monitoring of conditions that leads to ischemic changes like hypertension,altered
lipid profile,diabetes mellitus so that further progression of disease can be halted.
You need investigations like routine hemogram,RBS,LFT,RFT,Lipid profile,ultrasound of abdomen.
Proper treatment depend upon findings.
Hope i have answered your query.
Take Care
Dr.Indu Bhushan