Peripheral arterial disease history and symptoms

Peripheral arterial disease Microchapters
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AHA/ACC Guidelines on Management of Lower Extremity PAD
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Guidelines for Screening for Atherosclerotic Disease in Other Vascular Beds in patients with Lower Extremity PAD
Guidelines for Medical Therapy for Lower Extremity PAD
Guidelines for Structured Exercise Therapy for Lower Extremity PAD
Guidelines for Minimizing Tissue Loss in Lower Extremity PAD
Guidelines for Revascularization of Claudication in Lower Extremity PAD
Guidelines for Management of CLI in Lower Extremity PAD
Guidelines for Management of Acute Limb Ischemial in Lower Extremity PAD
Guidelines for Longitudinal Follow-up for Lower Extremity PAD
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Editors-in-Chief: C. Michael Gibson, M.D., Beth Israel Deaconess Medical Center, Boston, MA; Robert G. Schwartz, M.D. [1], Piedmont Physical Medicine and Rehabilitation, P.A.; Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]

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History

• Any exertional limitation of the lower extremity muscles or any history of walking impairment (fatigue, numbness, aching, or pain
• Any poorly healing or non healing of the legs or feet
• Any pain at rest localized at the lower leg or foot and its association with the upright or recumbent positions
• Postprandial abdominal pain that reproducibly is provoked by eating and is associated with weight loss
• Family history of a first-degree relative with Abdominal Aortic Aneurysm

Symptoms

• Leg symptoms with exertion (suggestive of claudication or ischemic rest pain.

• PAD symptoms severity
  • Maximal walking speed
    • Normal = 3-4 mph
    • PAD = 1-2 mph
  • Maximal walking distance
    • Normal = unlimited
    • PAD, 31% difficulty walking in home
    • PAD, 66% difficulty walking 1/2 block
  • Peak VO2
    • PAD reduced 50% (NYHA class III CHF)

References

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