Doctor insights on: Medicine for peripheral arterial disease

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What tests confirm peripheral arterial disease?

What tests confirm peripheral arterial disease?

ABI/PRESSURES: Ankle brachial index (abi) measures the difference in blood pressures between the arms and legs and arterial ultrasound which is a type of imaging test can be used in conjunction with this to establish this diagnosis along with an appropriate history. ...Read more

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Dr. Daniel Saurborn
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Artery (Definition)

Arteries are defined as blood vessels which carry blood away from the heart (to either the body or lungs). Arteries: higher pressure, thicker walls, stretch (pulse) with each heart contraction & deliver blood to the arterioles which control the flow to individual capillaries. Veins are blood vessels which carry blood from capillaries back to the heart (body to right heart; ...Read more


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What are the tests for peripheral arterial disease?

What are the tests for peripheral arterial disease?

Tests: Typically a screening test is an ABI (ankle brachial index). Follow up tests are typically a duplex ultrasound of your leg. Depending on these results you may require further evaluation with a CTA, MRA or angiography ...Read more

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How does peripheral arterial disease affect someone?

How does peripheral arterial disease affect someone?

Calfs hurt when walk: Peripheral artery disease causes blockages in the leg arteries that supply blood to the muscles used in walking. This causes the calfs to get tight and heavy and to hurt when walking. In more advanced cases as arteries become totally blocked in more than one level the disease may lead to complete loss of circulation and gangrene or amputation. Early diagnosis and treatment can avoid this. ...Read more

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What are the symptoms of peripheral arterial disease?

What are the symptoms of peripheral arterial disease?

Symptoms: Some of the common symptoms are:
Pain when walking (claudication).
Rest pain.
Cold feet.
Numbness and tingling in the legs and feet.
Skin discoloration in the feet and toes.
Slowly or non-healing sores on the feet. ...Read more

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Can you get pad (peripheral arterial disease) at age 20?

Can you get pad (peripheral arterial disease) at age 20?

Symptoms are rare: As dr. Wyffels said, autopsies on soldiers in viet nam showed early evidence of pad in young men as early as their 20's but having symptoms from pad when you are 20 would be exceedingly rare. ...Read more

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Please explain va rating for peripheral arterial disease.?

Please explain va rating for peripheral arterial disease.?

No well known ones..: The va does not have a published criteria that the community of vascular surgeons uses to rate or quantify pad. There are two systems that are used traditionally. They are the fontaine and rutherford classifications. They are based on patient symptoms and the presence of arterial ulcers on the feet. Blockages themselves are scored with a system called tasc that is designed for doctors to compare. ...Read more

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At what age are you more likely to get peripheral arterial disease?

At what age are you more likely to get peripheral arterial disease?

50's: There is different causes of pad and onset of symptoms are different. Most common is atherosclerosis and this start early in life but usually start to manifest with symptoms around the 50's, although some patient can have that even in early 30's. ...Read more

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Please help! What is the va rating for peripheral arterial disease?

Please help! What is the va rating for peripheral arterial disease?

CFR: You can look up the code of federal regulations (cfr) title 38 under schedule of rating disabilities to determine this. ...Read more

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What is the definition or description of: Peripheral arterial disease?

What is the definition or description of: Peripheral arterial disease?

Multiple: PEripheral arterial disease refers generally to the arterial supply to the extremities and can involve vessels of any size. Diseases like diabetes tend to affect the small arterial vessels while atherosclerosis from high cholesterol, hypertension, or smoking to name a few can affect vessels if any size. The concern is inadequate blood and oxygen to peripheral tissues and organs ...Read more

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How could a young person get diagnosed with peripheral arterial disease?

How could a young person get diagnosed with peripheral arterial disease?

Youthful PAD: The simplest test is to use a doppler and check blood pressures in the arms and ankles and compare. Pad will make them different. Signs and symptoms can include cold feet, bluish toes, pain in the calves with walking, ulcers of the feet and toes and gangrenous changes of the feet. Many diseases can mimic these symptoms so a vascular or wound specialist is needed. ...Read more

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Which tests are usually carried out to confirm peripheral arterial disease?

Leg pressures: Non-invasive studies that measure your blood pressure in different locations of the leg are a great way to confirm peripheral artery disease. The blood pressures in the thigh, calf, ankle, and toes are measured along with special waveform tracing gives the best functional information about your disease. No other test (including angio or ultrasound) gives more functional information than this test. ...Read more

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Which tests are usually carried out to confirm peripheral arterial disease?

Exam and ABI: Peripheral artery disease or pad is usually diagnosed by a combination physicial examination and and simple test called ankle brachial index or abi. ...Read more

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What is the youngest age a person can be diagnosed with peripheral arterial disease?

What is the youngest age a person can be diagnosed with peripheral arterial disease?

Yes: While uncommon people as young as 20 may have peripheral arterial disease, though this is usually the result of a number of vasculitidies such as takayasu's arteritis or berger's disease. More commonly pad is found in people over the age of 50, and quite prevalent in those over age 70. Smoking is the biggest risk factor in developing pad, conferring a 16x higher risk than a non-smoker. Don't smoke. ...Read more

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Is there a difference between peripheral arterial disease and peripheral venous disease?

Is there a difference between peripheral arterial disease and peripheral venous disease?

Yes: They are completely different. Venous disease is somewhat genetic, but if people lived long enough almost everyone would probably get venous disease at some point in their life. In fact 15% of the adult population has venous disease. Arterial disease, in contrast, is not as common in the general population. It occurs in smokers, diabetics, and in people with high blood pressure and cholesterol. ...Read more

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What is the difference between peripheral arterial disease and peripheral venous disease?

What is the difference between peripheral arterial disease and peripheral venous disease?

Artery vs vein: Think of one (Periph artery disease) as problems with the vessels in charge of delivering blood, oxygen. and nutrients to the tissues and the other (peripheral venous disease) as problems with the vessels in charge of returning that blood to the heart. ...Read more

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What are the differences between peripheral arterial disease and peripheral venous disease?

Different vessels: Arteries carry oxygenated "nutritious" blood to veins carry the "used up" blood that has the cellular wastes back from the tissues to be cleansed. Artery disease means that the tissues starve from lack of food. Vein disease means they cannot get rid of their wastes. Vein disease occurs from ankles to knees with ulcers, brown staining and swelling. Artery disease occurs at toes, bluish color/cold. ...Read more

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Can you tell me what is the difference between peripheral arterial disease and peripheral venous disease?

Can you tell me what is the difference between peripheral arterial disease and peripheral venous disease?

Yes: Peripheral means in the extremities (arms/legs). Arteries are thick walled, high pressure, elastic conduits that send oxygen rich pulsatile blood from the heart to the periphery. Veins are thin walled, low pressure, non-pulsatile, relatively larger structures that return oxygen poor blood to the heart and lungs. Both diseases can cause pain. The hallmark of PVD is swelling; of pad, pain with use. ...Read more

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How do cigarettes cause peripheral arterial disease?

How do cigarettes cause peripheral arterial disease?

Bad stuff: The key ingredient in cigarettes is nicotine. Our arteries have a muscular lining that can relax to increase flow and "squeeze" to reduce flow. Nicotine causes the lining to squeeze down and also causes damage to the lining which causes inflammation. Hard calcium is deposited which further narrows the vessels permanently reducing blood flow. This occurs in every artery when you smoke! ...Read more

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Can there be any hope for peripheral arterial disease?

Can there be any hope for peripheral arterial disease?

Lots: Most patients with peripheral arterial disease (pad) do relatively well. Lowering your cholesterol, stopping smoking, a walking program, and stopping smoking (mentioned twice because its that important) may stabilize symptoms if not improve them. Some (not most) patients require more invasive treatment either by angioplasty or surgery. Treatment options are continuing to improve. ...Read more

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Dr. Bradley Thomas
380 Doctors shared insights

Peripheral Arterial Disease (Definition)

PEripheral arterial disease refers generally to the arterial supply to the extremities and can involve vessels of any size. Diseases like diabetes tend to affect the small arterial vessels while atherosclerosis from high cholesterol, hypertension, or smoking to name a few can affect vessels if any size. The concern is inadequate blood and oxygen to ...Read more