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Peripheral arterial disease

Peripheral vascular disease (PVD), commonly referred to as peripheral artery disease (PAD) or peripheral artery occlusive disease (PAOD) or peripheral obliterative arteriopathy, refers to the obstruction of large arteries not within the coronary, aortic arch vasculature, or brain. PVD can result from atherosclerosis, inflammatory processes leading to stenosis, an embolism, or thrombus formation. It causes either acute or chronic ischemia (lack of blood supply). Often PVD is a term used to refer to atherosclerotic blockages found in the lower extremity.

Source: Wikipedia

What are the symptoms?

Within all the people who go to their doctor with peripheral arterial disease, 55% report having skin lesion, 51% report having leg pain, and 24% report having foot or toe pain. The symptoms that are highly suggestive of peripheral arterial disease are poor circulation and feeling cold, although you may still have peripheral arterial disease without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with peripheral arterial disease often receive wound care management, complete physical skin exam performed (ml), ultrasonography, lipid panel, examination of foot, debridement of wound; infection or burn, hemoglobin a1c measurement and echocardiography .

Common Medications

The most commonly prescribed drugs for patients with peripheral arterial disease include clopidogrel (plavix), isosorbide, cilostazol, collagenase topical, silver sulfadiazine topical, pentoxifylline, petrolatum topical, cellulose, calcium acetate, balsam peru/castor oil/trypsin topical, becaplermin topical, collagen and sodium hypochlorite topical .

Who is at risk?

Groups of people at highest risk for peripheral arterial disease include age 75+ years age 60-74 years. On the other hand, age 5-14 years, age 1-4 years, age 15-29 years, and age < 1 years almost never get peripheral arterial disease.

Age

< 1 years
0.0x
1-4 years
0.0x
5-14 years
0.0x
15-29 years
0.0x
30-44 years
0.2x
45-59 years
1.1x
60-74 years
2.7x
75+ years
3.7x

Sex

Male
1.2x
Female
0.8x

Race/Ethnicity

Black
0.9x
Hispanic
0.6x
White
1.2x
Other
0.6x
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