Peripheral arterial disease history and symptoms: Difference between revisions
/* ACC/AHA 2005 Practice Guidelines for the Management of Patients With Peripheral Arterial Disease (Lower Extremity, Renal, Mesenteric, and Abdominal Aortic) (DO NOT EDIT){{cite journal |author=Hirsch AT, Haskal ZJ, Hertzer NR, Bakal CW, Creager ... |
/* ACC/AHA 2005 Practice Guidelines for the Management of Patients With Peripheral Arterial Disease (Lower Extremity, Renal, Mesenteric, and Abdominal Aortic) (DO NOT EDIT){{cite journal |author=Hirsch AT, Haskal ZJ, Hertzer NR, Bakal CW, Creager ... |
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Class I | Class I | ||
1. Individuals at risk for lower extremity PAD (see | 1. Individuals at risk for lower extremity PAD (see Section 2.1.1, Table 2) should undergo a vascular review of symptoms to assess walking impairment, claudication, ischemic rest pain, and/or the presence of nonhealing wounds. (Level of Evidence: C) | ||
Section 2.1.1, Table 2) should undergo a vascular | |||
review of symptoms to assess walking impairment, | 2. Individuals at risk for lower extremity PAD (see Section 2.1.1) should undergo comprehensive pulse examination and inspection of the feet. (Level of Evidence: C) | ||
claudication, ischemic rest pain, and/or the presence | |||
of nonhealing wounds. (Level of Evidence: C) | 3. Individuals over 50 years of age should be asked if they have a family history of a first-order relative with an abdominal aortic aneurysm. (Level of Evidence: C) | ||
2. Individuals at risk for lower extremity PAD (see | |||
==References== | ==References== | ||
Revision as of 15:23, 9 October 2012
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Peripheral arterial disease Microchapters |
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Differentiating Peripheral arterial disease from other Diseases |
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Diagnosis |
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Treatment |
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Case Studies |
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AHA/ACC Guidelines on Management of Lower Extremity PAD |
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Guidelines for Structured Exercise Therapy for Lower Extremity PAD |
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Guidelines for Minimizing Tissue Loss in Lower Extremity PAD |
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Guidelines for Revascularization of Claudication in Lower Extremity PAD |
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Guidelines for Management of Acute Limb Ischemial in Lower Extremity PAD |
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Guidelines for Longitudinal Follow-up for Lower Extremity PAD |
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Peripheral arterial disease history and symptoms On the Web |
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American Roentgen Ray Society Images of Peripheral arterial disease history and symptoms |
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Peripheral arterial disease history and symptoms in the news |
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Directions to Hospitals Treating Peripheral arterial disease |
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Risk calculators and risk factors for Peripheral arterial disease history and symptoms |
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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Overview
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)
- Maximal walking speed
ACC/AHA 2005 Practice Guidelines for the Management of Patients With Peripheral Arterial Disease (Lower Extremity, Renal, Mesenteric, and Abdominal Aortic) (DO NOT EDIT)[1]
Recommendations - Vascular History and Physical Examination
Class I 1. Individuals at risk for lower extremity PAD (see Section 2.1.1, Table 2) should undergo a vascular review of symptoms to assess walking impairment, claudication, ischemic rest pain, and/or the presence of nonhealing wounds. (Level of Evidence: C)
2. Individuals at risk for lower extremity PAD (see Section 2.1.1) should undergo comprehensive pulse examination and inspection of the feet. (Level of Evidence: C)
3. Individuals over 50 years of age should be asked if they have a family history of a first-order relative with an abdominal aortic aneurysm. (Level of Evidence: C)
References
- ↑ Hirsch AT, Haskal ZJ, Hertzer NR, Bakal CW, Creager MA, Halperin JL, Hiratzka LF, Murphy WR, Olin JW, Puschett JB, Rosenfield KA, Sacks D, Stanley JC, Taylor LM, White CJ, White J, White RA, Antman EM, Smith SC, Adams CD, Anderson JL, Faxon DP, Fuster V, Gibbons RJ, Hunt SA, Jacobs AK, Nishimura R, Ornato JP, Page RL, Riegel B (2006). "ACC/AHA 2005 Practice Guidelines for the management of patients with peripheral arterial disease (lower extremity, renal, mesenteric, and abdominal aortic): a collaborative report from the American Association for Vascular Surgery/Society for Vascular Surgery, Society for Cardiovascular Angiography and Interventions, Society for Vascular Medicine and Biology, Society of Interventional Radiology, and the ACC/AHA Task Force on Practice Guidelines (Writing Committee to Develop Guidelines for the Management of Patients With Peripheral Arterial Disease): endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation; National Heart, Lung, and Blood Institute; Society for Vascular Nursing; TransAtlantic Inter-Society Consensus; and Vascular Disease Foundation". Circulation. 113 (11): e463–654. doi:10.1161/CIRCULATIONAHA.106.174526. PMID 16549646. Retrieved 2012-10-09. Unknown parameter
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