PAD - Peripheral Artery Disease Flashcards
What is PAD
Systemic Atherosclerosis of the extremities
What is ABI - ankle brachial index
Measure BP in both arms and ankle
Take the high pressure of each arm and leg
Leg SBP/ arm SBP
What do you see with acute limb ischemia
The 6 P
Pain, paralysis
Parenthesis
Pulselessness
Poikilothermia
Pallor
ABI reference range
.9 or lower is PAD
Lower is mor critical
Goal of treatment
Increase walking distance
Reduce risk of amputation
What is non pharm for PAD
Just like CAD
Quit smoking and exercise
MOST IMPORTANT IS EXERCISE 180% reduction
PAD exercise program supervised exercise
Some watches you walk for 30-45 mins
3 times a week for 6 months ideally
PAD exercise at home
Self directed with at least 6 months
Risk factors for PAD
lower BP
Lower lipids ≤50%, people with high risk factors get < 70
Glycemic control
PAD treatment therapy
What drug is given for asymptomatic PAD
Consider aspirin
Symptomatic PAD with IC - intermittten claudication
Consider cilostazol
Systematic PAD all pts
Aspirin or clopidogrel
Or
Aspirin and Rivaroxaban
Why would you chose Rivaroxaban for clopidregl for systematic PAD pts
Reduces MACE, cerebrovascular events and major limp events
BUT INCREASE BLEEDING
systematic PAD with recent stent or ACS
DAPT
