Currently there is a lack of good quality, comparative evidence to guide clinical practice on many of the new endovascular technologies used to treat PAD.
The impact of cigarette smoking on PAD has been understudied in African-Americans, even though PAD is nearly three times more prevalent in African-Americans than in whites. The current study looked at the relationship between smoking and PAD in participants in the Jackson Heart Study, the largest single site cohort study investigating cardiovascular disease in African-Americans.
What if I told you a test could determine whether you're at an elevated risk for heart attack and stroke, and all it would take is removing your shoes and socks for about five minutes.
The prevalence of peripheral artery disease (PAD) continues to increase worldwide. It is important to identify patients
with PAD because of the increased risk of myocardial infarction, stroke, and cardiovascular death and impaired quality of
life because of a profound limitation in exercise performance and the potential to develop critical limb ischemia.
For decades, clinicians did not recognize the impact of coronary disease in women. As such, women were not informed of their CHD risk. For any common disease, whether infectious, oncological, or traumatic, when more than half of the population at risk is not aware of this risk, and when this risk is not managed, preventable morbid and mortal events are inevitable.
Defined in this way, PAD is the most common disease that is most commonly overlooked. Although it is unusual for PAD to manifest in those under the age of 55, its prevalence increases sharply with age to affect about 8–10% of individuals over the age of 65, and about 20% of individuals over the age of 80.
Researchers are still seeking new methods to treat PAD, such as gene therapy. As with other chronic diseases, prevention will always remain the only foolproof method to avoid pain and the undesirable side effects of treatment. The basics of a wholesome lifestyle—eating a balanced and heart-healthy diet, avoiding tobacco use, exercising regularly, and maintaining a steady weight—are some of the basics that even pain practitioners need to promote.
MORE and more we see elderlies among us, more reverently called senior citizens, thanks for the increasing control of infectious diseases which used to be the number one cause of death in developing so-called Third World countries, which include our dearly beloved Philippines.
Doctors are seeking better ways to help patients suffering from artery blockages that obstruct blood flow to the legs—an area of treatment that has been lacking despite well-established methods for preventing and treating the same disease when it occurs in the heart.
In addition to optimal management of diabetes and smoking cessation, treatment of PAD includes medications to control blood pressure and cholesterol, prevent blood clots, and to treat pain.
If these are insufficient, interventional treatments include endovascular procedures and traditional bypass operations.
PAD often flies under the radar. “Unfortunately, many people—and that includes doctors—aren’t aware of peripheral artery disease, or they attribute its symptoms to something else, like arthritis or getting older,” says Dr. Reena L. Pande, director of the Vascular Diagnostic Lab at Brigham and Women’s Hospital and Instructor in Medicine at Harvard Medical School.
Did you know that by taking your socks off at your next checkup, you may be able to reduce your risks for a serious medical condition called peripheral artery disease, or PAD. More than 8.5 million American adults are affected by PAD, yet many people don’t know they have it.
PAD is a serious but treatable vascular condition that occurs when sticky plaque that builds up in the arteries hardens and blocks the vessels, limiting the flow of oxygen-rich blood to the limbs.
An early symptom of PAD can be pain on walking – most commonly in the calf muscle but also in the thigh or buttock muscle – a condition known as intermittent claudication.
It may seem odd that people who have serious difficulty walking normal distances would not know something is wrong and get checked out. Yet, as Dr. Kullo noted, P.A.D. is both underdiagnosed and undertreated. And the number of cases of P.A.D. is only likely to rise as the population ages, he said.
This channel includes news, interventions, and new technology innovations for peripheral artery disease, PAD and critical limb ischemia.
The Save A Leg, Save A Life Foundation is a 501c3 non-profit organization whose mission is:
“To Reduce the Number of Lower Extremity Amputations and Improve the Quality of Life of our Fellow Citizens Who are Afflicted with Wounds and Complications from Diabetes and Peripheral Arterial Disease”
The good news is that like other diseases related to the arteries, PAD can be treated by making lifestyle changes, by taking medicines, or by having endovascular or surgical procedures, if needed.
You may not feel any symptoms from peripheral artery disease at first. The most common early symptom is intermittent claudication (IC). IC is discomfort or pain in your legs that happens when you walk and goes away when you rest.
Giving an ACE inhibitor to people with peripheral artery disease (PAD) and intermittent claudication reduces pain and increases walking time, according to a new study published in JAMA. Currently the pharmacologic options for this patient population are few and have limited efficacy.
Is PAD dangerous or life threatening?
Yes, PAD is dangerous because these blockages can restrict circulation to the limbs and organs. Without adequate blood flow, the kidneys, legs, arms and feet suffer damage. Left untreated, the tissue can die or harbor infection such as gangrene.
Like the blood vessels of the heart (coronary arteries), your peripheral arteries (blood vessels outside your heart) also may develop atherosclerosis, the build-up of fat and cholesterol deposits, called plaque, on the inside walls. Over time, the build-up narrows the artery. Eventually the narrowed artery causes less blood to flow, and a condition called ischemia can occur. Ischemia is inadequate blood flow to the body's tissue.
Only about half of the individuals with peripheral vascular disease have symptoms. Almost always, symptoms are caused by the leg muscles not getting enough blood. Whether you have symptoms depends partly on which artery is affected and to what extent blood flow is restricted.
This increasingly common disorder often goes undetected in women until serious problems arise.
Information for patients and the public on heart and vascular disease.