Peripheral Vascular Disease

Question 1

Ankle Brachial Index

1. What value would concern you for PVD?
2. What do the following values indicate
   a) 1.0-1.4 =
   b) 0.9 =
   c) >1.4 =

Answer 1

1. ABI <0.9
2. a) 1.0-1.4 = normal
   b) 0.9 = borderline PVD
   c) >1.4 = non compressible (e.g. secondary to calcified arteries from diabetes, renal insufficiency)

(Ref: RACGP article)

Question 2

Presentation of PVD?

Answer 2

Buttock, calf, foot pain with walking, improves with rest.

Pain worse on leg elevation, relief with lowering to the ground.

Rest pain

(Ref: RACGP Check Cardiology 2016)

Question 3

1. Patients with PVD should also be checked for?

2. important ddx

Answer 3

1. AAA
2. Spinal Claudication

(Ref: RACGP Check Cardiology 2016)

Question 4

Management

1/ Medical

Answer 4

Ace I
Calcium Ch Blocker
Statin
Aspirin

Avoid BBlocker unless required for cardioprotection
(Ref: RACGP Check Cardiology 2016)

Question 5

When should PVD patients be reffered?

Answer 5

arterial ulcer/gangrene
Rest pain
(Ref: RACGP Check Cardiology 2016)