Peripheral Vascular Disease and Peripheral Arterial Occlusive Disease

Question 1

what is PAD?

Answer 1

atherosclerotic changes leading to arterial stenosis

Question 2

what is the most common symptom of PAD

Answer 2

intermittent claudication- defined as reproducible ischemic muscle pain with activity, relieved by rest

Question 3

what are risk factors for PAD?

Answer 3

-smoking
-HTN
-Atherosclerosis
-DM
-hypercholesterolemia
-age >60

Question 4

How do you diagnose PAD

Answer 4

ultrasonography
MRA
CT
ABI

Question 5

what is a normal ABI Value
what is sever?

Answer 5

normal 0.9-1.30

severe <0.4

Question 6

what surgical interventions can be completed with PAD

Answer 6

angioplasty/stenting
endarterectomy
bypass grafting

Question 7

What are some exercise limitations with PVD and PAD

Answer 7

inadequate between blood flow and metabolic demand
produces sensation of burning/aches in calf/thigh/buttock
pain subsides with rest

Question 8

what are some changes that need to be made in FITT principles for PVD and PAD

Answer 8

we want to walk into their symptoms but not go past 3 on the claudication scale

Question 9

can exercise change when claudication pain starts?

Answer 9

yes pt can exercise longer before onset of pain