Peripheral Arterial Disease: Intermittent Claudication Flashcards
1
Q
what are the 3 main patterns of presentation of peripheral arterial disease?
A
- intermittent claudication
- critical limb ischaemia
- acute limb-threatening ischaemia
2
Q
what are the features of intermittent claudication?
A
aching or buring in the leg muscles following walking
* walk for a predictable distance before the symptoms start
* usually relieved within minutes of stopping
* not present at rest
3
Q
what assessments are conducted in suspected intermittent claudication?
A
- check femoral, popliteal, posterior tibialis and dorsalis pedis pulses
- ankle brachial pressure index
4
Q
what is the initial investigation in intermittent claudication?
A
duplex ultrasound
5
Q
what investigation needs to be performed prior to any intervention?
A
magnetic resonance angiography
6
Q
interpretation of ABPI
1
A
normal
7
Q
interpretation of ABPI
0.6-0.9
A
claudication
8
Q
interpretation of ABPI
0.3-0.6
A
rest pain
9
Q
interpretation of ABPI
<0.3
A
impending
