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Related Concept Videos

Peripheral Artery Disease I: Introduction01:30

Peripheral Artery Disease I: Introduction

Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs, particularly the arteries supplying the thighs and calves. In rare cases, it may involve other arteries, including those in the arms.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty...
Exercise and Cardiovascular Response01:20

Exercise and Cardiovascular Response

Exercise significantly impacts cardiovascular response, which is crucial for understanding patient health and designing effective treatment plans.
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation01:21

Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation

Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
Atherosclerosis II: Clinical Manifestations and Diagnostic Tests01:27

Atherosclerosis II: Clinical Manifestations and Diagnostic Tests

Atherosclerosis is a progressive disorder that leads to the thickening and narrowing of arterial walls due to plaque buildup. This condition can cause various symptoms depending on the arteries affected:Coronary Artery Disease (CAD): This condition affects the coronary arteries and may lead to chest pain (angina), shortness of breath (dyspnea), heart attacks, and other heart disease symptoms.Cerebrovascular Disease: This affects blood flow to the brain, causing transient ischemic attacks (TIAs)...
Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
Arteries of the Upper Limbs01:12

Arteries of the Upper Limbs

The subclavian artery transitions into the axillary artery as it exits the chest and enters the axillary region. This artery is critical for supplying blood to the shoulder area, including the head of the humerus, through the humeral circumflex arteries. As the vessel continues into the upper arm or brachium, it becomes the brachial artery. This artery plays a key role in vascularizing the brachial region and bifurcates at the elbow into several branches. These branches include the deep...

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Doppler Ultrasound-Based Leg Blood Flow Assessment During Single-Leg Knee-Extensor Exercise in an Uncontrolled Setting
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Arteriopathy in the high-performance athlete.

Thomas J Takach1, Peter N Kane, Jeko M Madjarov

  • 1Department of Cardiothoracic and Vascular Surgery, Carolinas Heart Institute, Charlotte, North Carolina 28203, USA. tjtakach@netscape.net

Texas Heart Institute Journal
|January 12, 2007
PubMed
Summary

High-performance athletes can experience limb pain from arteriopathy causing exercise-induced ischemia. Precise surgical reconstruction effectively treats this condition, allowing athletes to return to competition symptom-free.

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Area of Science:

  • Vascular Surgery
  • Sports Medicine
  • Athletic Performance

Background:

  • Musculoskeletal injuries are common causes of pain in high-performance athletes.
  • Repetitive limb motion in certain sports can lead to arteriopathy and exercise-induced ischemia.
  • Arteriopathy, a vascular disease, can manifest as limb pain in athletes.

Observation:

  • Reviewed 3 male high-performance athletes (ages 16-47) with limb ischemia due to arteriopathy.
  • Diagnoses were confirmed through provocative testing and radiologic evaluation.
  • Case studies included baseball players and a cyclist.

Findings:

  • Surgical interventions included thoracic outlet decompression, axillary artery decompression, and external iliac artery endofibrosis repair.
  • Reconstructive techniques aimed to relieve arterial compression, correct stenosis, and improve blood flow.
  • All patients underwent successful arterial reconstruction.

Implications:

  • Recognizing and defining arteriopathy causing exercise-induced ischemia is crucial for targeted therapy.
  • Precise surgical treatment can lead to symptom-free outcomes for affected athletes.
  • Successful management enables athletes to resume competitive participation.