Peripheral Vascular Disease

Question 1

What is peripheral vascular disease?

Answer 1

Reduction of blood flow to the periphery. Most commonly the legs. A form of atherosclerosis

Question 2

What % of Australian’s have symptoms of peripheral vascular disease?

Answer 2

16%

Question 3

What are the two most attributed risk factors for PVD?

Answer 3

Obesity and smoking

Question 4

What is the clinical representation of intermittent claudication?

Answer 4

Strong pain, numbness, burning, tingling, pain, changes in skin tone, poor wound healing

Question 5

What are the 5 steps of atherosclerosis?

Answer 5

Step 1: endothelial cell damage
Step 2: oxidisation of lipids
Step 3: inflammatory reaction
Step 4: smooth muscle cell cap
Step 5: Rupture

Question 6

What are normal and abnormal values of ankle brachial index?

Answer 6

Normal = 0.9-1.4
Abnormal = >1.4 Or <0.9

Question 7

What test is used for someone with peripheral vascular disease?

Answer 7

Graded test, assessing time to claudication

-Initial time and max pain time

Question 8

True or false, walking with no pain is of no benefit to someone with PVD

Answer 8

False! Newer evidence suggests no pain, or minimal pain is also effective

Question 9

What are some common forms of medications for PVD?

Answer 9

ACE inhibitors
Statins
Anti-platelets
Beta blockers
Cilostazol

Question 10

What are some contraindications for some with PVD?

Answer 10

Blood pressure abnormalities, ECG, chest pain, open foot wound, critical ischemia,