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  • 38 Peripheral Artery Disease DrMariwan

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    Darawan Mirza
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    This document discusses peripheral arterial disease (PAD), which occurs when narrowed arteries reduce blood flow to limbs. It covers risk factors that can accelerate atherosclerosis like smoking, hypertension, high cholesterol, and lack of exercise. Symptoms of PAD range from mild leg pain with walking to severe limb damage. Diagnosis involves examining pulses, ultrasound, MRI, angiography. Complications include diabetic foot issues, Buerger's disease affecting young smokers, and acute limb ischemia requiring urgent treatment. The goal is treating underlying conditions and preventing amputation for improved quality of life.

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    This document discusses peripheral arterial disease (PAD), which occurs when narrowed arteries reduce blood flow to limbs. It covers risk factors that can accelerate atherosclerosis like smoking, hypertension, high cholesterol, and lack of exercise. Symptoms of PAD range from mild leg pain with walking to severe limb damage. Diagnosis involves examining pulses, ultrasound, MRI, angiography. Complications include diabetic foot issues, Buerger's disease affecting young smokers, and acute limb ischemia requiring urgent treatment. The goal is treating underlying conditions and preventing amputation for improved quality of life.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    15 views33 pages

    38 Peripheral Artery Disease DrMariwan

    Uploaded by

    Darawan Mirza
    This document discusses peripheral arterial disease (PAD), which occurs when narrowed arteries reduce blood flow to limbs. It covers risk factors that can accelerate atherosclerosis like smoking, hypertension, high cholesterol, and lack of exercise. Symptoms of PAD range from mild leg pain with walking to severe limb damage. Diagnosis involves examining pulses, ultrasound, MRI, angiography. Complications include diabetic foot issues, Buerger's disease affecting young smokers, and acute limb ischemia requiring urgent treatment. The goal is treating underlying conditions and preventing amputation for improved quality of life.

    Copyright:

    © All Rights Reserved
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    of 33

    Peripheral Arterial Disease

    by
    Dr. Mariwan H. Saka
    Lecturer
    Internal Medicine
    MBChB FICMS ( Medicine )
    H.D. in Interventional Cardiology
    College of Medicine
    Hawler Medical University
    PAD
    • Risk factors
    • Prevalence
    The Progression of Atherosclerosis Can Be Accelerated
    by LDL-C and Impacted by Additional Risk Factors

    • Hypertension • Diabetes • Lack of physical activity


    • Family history of early CHD • High-fat diet
    • Dyslipidemia • Smoking

    For illustration only: Represents potential long-term plaque buildup in the artery

    Naghavi M, et al. Am J Cardiol. 2006;98:2H-15H.


    Lusis AJ. Nature. 2000;407:233-241.
    Falk E. J Am Coll Cardiol. 2006;47:C7–C12.
    !3
    CF
    • Anatomical
    • collaterals
    • Onset
    • Mechanism
    a- hemodynamic % of stenosis rest exertion
    b- thrombotic longstading CL, sudden NC
    c- atheroembolic
    d- thromboembolic
    Chronic LL arterial disease
    • Anatomy inflow outflow
    • L 8XA
    • IC single segment 5% 1-2 %/y 5% BMT 6 m
    • SLI multiple segment rest pain 2W
    • CLI
    • SCLI
    • SLI without IC
    • Elderly multisystem, co-morbid, difficult to
    treat bad prognosis
    Diagnosis
    • History & examination
    • ABI
    • Duplex US
    • MRI
    • CT
    • Angiography
    Diabetic Foot
    • Calcification
    • Immunocompromise
    • Multisystem Art disease
    • Distal
    • SN
    • MN
    • AN
    Buerger's Disease
    • Young male smoker
    • Distal
    • Thrombophlebitis
    • Pulses
    • Sympathectomy , PG
    • Amputation
    Chronic UL arterial Disease
    • Arm claudication
    • Atheroembolic ,Blue finger syndrome
    • SSS
    • Raynaud's P S
    ALI
    • Thrombotic atherothrombotic trauma
    • Urgent discuss surgeon
    • 5Ps
    • Amputation recovery or life threatening
    THANK
    YOU

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