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Related Concept Videos

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...
Peripheral Artery Disease IV: Nursing Management01:26

Peripheral Artery Disease IV: Nursing Management

The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses, temperature changes,...
Chronic Obstructive Pulmonary Disease-III: Symptoms and Complications.01:25

Chronic Obstructive Pulmonary Disease-III: Symptoms and Complications.

Understanding the variety of primary symptoms and systemic complications that characterize chronic obstructive pulmonary disease (COPD) is crucial for healthcare professionals.
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD:
Chronic Obstructive Pulmonary Disease IV: Clinical Manifestations01:19

Chronic Obstructive Pulmonary Disease IV: Clinical Manifestations

Chronic Obstructive Pulmonary Disease, or COPD, is a long-term condition marked by persistent and only partially reversible airflow limitation. It involves two overlapping conditions—chronic bronchitis and emphysema—which often co-appear but differ in dominant symptoms and underlying mechanisms.Chronic Bronchitis FeaturesChronic bronchitis presents with a persistent productive cough and thick, sometimes purulent mucus due to airway inflammation, enlarged mucus glands, and goblet cell...
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...
Assessment of the Cardiovascular System III: Palpation01:27

Assessment of the Cardiovascular System III: Palpation

Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above the...

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Acupoint Application Combined with Ear Plaster Therapy for Treating Sleep Disorders with Acute Exacerbation of Chronic Obstructive Pulmonary Disease
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Alterations in the peripheral circulation in COPD patients.

Alain Boussuges1, Pascal Rossi, Marion Gouitaa

  • 1Institut de Médecine Navale du Service de Santé des Armées, Boulevard de Saint-Anne, 83800 Toulon Armées, France. alainboussuges@libertysurf.fr

Clinical Physiology and Functional Imaging
|August 19, 2007
PubMed
Summary

Chronic obstructive pulmonary disease (COPD) patients exhibit significant peripheral circulatory changes, including decreased brachial artery compliance. These vasomotor alterations worsen with COPD severity, impacting overall cardiovascular health.

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Published on: June 16, 2014

Area of Science:

  • Cardiovascular Physiology
  • Pulmonary Medicine

Background:

  • Peripheral circulation is influenced by various factors in chronic obstructive pulmonary disease (COPD).
  • Vasomotor changes in COPD patients remain poorly understood.
  • Understanding these changes is crucial for comprehensive patient care.

Purpose of the Study:

  • To investigate alterations in brachial artery circulation in COPD patients.
  • To assess the relationship between COPD severity and peripheral circulatory function.

Main Methods:

  • Compared 25 COPD patients with 25 healthy controls.
  • Utilized two-dimensional ultrasonography and pulsed Doppler to assess brachial artery blood flow and stiffness.
  • Employed pulsed Doppler echocardiography to evaluate cardiac dimensions, left ventricular function, and cardiac output.

Main Results:

  • COPD patients showed increased left ventricular (LV) mass, decreased total arterial and brachial artery (BA) compliance, and elevated heart rate.
  • LV preload was reduced in COPD patients, indicated by decreased LV diastolic diameters and stroke volume.
  • Lower BA surface area was observed in severe COPD cases, with FEV(1) and PaO(2) significantly correlating with BA compliance.

Conclusions:

  • COPD is associated with significant peripheral circulatory alterations.
  • The severity of peripheral circulatory changes correlates with the severity of COPD.
  • These findings highlight the systemic impact of COPD on cardiovascular function.