Peripheral vascular disease: diagnosis and treatment.
نویسنده
چکیده
Peripheral vascular disease is a manifestation of systemic atherosclerosis that leads to significant narrowing of arteries distal to the arch of the aorta. The most common symptom of peripheral vascular disease is intermittent claudication. At other times, peripheral vascular disease leads to acute or critical limb ischemia. Intermittent claudication manifests as pain in the muscles of the legs with exercise; it is experienced by 2 percent of persons older than 65 years. Physical findings include abnormal pedal pulses, femoral artery bruit, delayed venous filling time, cool skin, and abnormal skin color. Most patients present with subtle findings and lack classic symptoms, which makes the diagnosis difficult. The standard office-based test to determine the presence of peripheral vascular disease is calculation of the ankle-brachial index. Magnetic resonance arteriography, duplex scanning, and hemodynamic localization are noninvasive methods for lesion localization and may be helpful when symptoms or findings do not correlate with the ankle-brachial index. Contrast arteriography is used for definitive localization before intervention. Treatment is divided into lifestyle, medical, and surgical therapies. Lifestyle therapies focus on exercise, smoking cessation, and dietary modification. Medical therapy is directed at reducing platelet aggregation. In addition, patients with contributing disorders such as hypertension, diabetes, and hyperlipidemia need to have these conditions managed as aggressively as possible. Surgical therapies include stents, arterectomies, angioplasty, and bypass surgery.
منابع مشابه
Diagnosis, Prognosis and Treatment of Peripheral Vascular Disease in Patients with Diabetic Foot Ulcer: Adopted IWGDF Guidance
Introduction: Peripheral arterial disease (PAD) is common in diabetic patients, and about half of the patients with diabetic foot ulcers (DFU) have concomitant peripheral arterial disease (PAD). The purpose of this study was to select an appropriate and comprehensive clinical guide in the management of DFU. The part of the practical guide that pertains to this is based on three systematic revie...
متن کاملVascular Disease: Diagnostic and Therapeutic Approaches.
vascular disease diagnostic and therapeutic approaches peripheral vascular disease basic diagnostic and peripheral vascular disease basic diagnostic and peripheral vascular diseasebasic diagnostic and vascular disease diagnostic and therapeutic approaches vascular disease diagnostic and therapeutic approaches peripheral vascular disease: basic diagnostic and nanomedicine approaches in vascular ...
متن کاملPeripheral vascular disease : with particular stress on the early diagnosis and conservative non-operative treatment
متن کامل
Surgical infrainguinal revascularization for peripheral arterial disease: factors affecting patency rate
Background: Peripheral arterial disease is a source of morbidity and mortality. Surgical vascular reconstruction is a treatment option but probability of failure and complications are important concerns. In this study, we evaluated outcome of surgical infrainguinal reconstruction and factors affecting graft patency for a period of one year. Methods: In this cohort study, 85 consecutive patie...
متن کاملغربالگری آترواسکلروز با روش اندکس پایی - بازویی در بیماران دیابتی نوع 2 و ارتباط آن با سایر عوامل
Background & Aims: Diabetes mellitus, as the most common metabolic disorder in the world with increasing incidence, is associated with advanced atherosclerotic changes in cardiac, cerebral and peripheral vasculature. Atherosclerosis by making some changes is related to the cardiac and cerebral vasculature. Establishment of peripheral vascular complication leads to early diagnosis, prevention...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- American family physician
دوره 73 11 شماره
صفحات -
تاریخ انتشار 2006