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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...
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 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...
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,...
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
Atherosclerosis IV: Nursing Management01:23

Atherosclerosis IV: Nursing Management

Nursing management for a patient with arteriosclerosis involves a comprehensive approach focusing on lifestyle modification, disease monitoring, education, and symptomatic care. Here is an overview of effective nursing strategies:Assessment and Monitoring: Initial and ongoing assessments are crucial. Nurses must document the patient's medical history, including any hypertension, diabetes, hyperlipidemia, and other cardiovascular diseases. Assessments also cover family history and lifestyle...

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Related Experiment Video

Updated: Jun 24, 2026

Computerized Dynamic Posturography for Postural Control Assessment in Patients with Intermittent Claudication
14:52

Computerized Dynamic Posturography for Postural Control Assessment in Patients with Intermittent Claudication

Published on: December 11, 2013

Peripheral arterial disease: a growing problem for the internist.

Coen D A Stehouwer1, Denis Clement, Christopher Davidson

  • 1Maastricht University Medical Centre, Maastricht, the Netherlands. csteh@sint.azm.nl

European Journal of Internal Medicine
|March 31, 2009
PubMed
Summary

Peripheral arterial disease (PAD) is a serious condition often underestimated, posing a significant cardiovascular risk. Early diagnosis and aggressive risk factor management are crucial for better patient outcomes.

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Reduction of Radiation Exposure during Endovascular Treatment of Peripheral Arterial Disease Combining Fiber Optic RealShape Technology and Intravascular Ultrasound

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Last Updated: Jun 24, 2026

Computerized Dynamic Posturography for Postural Control Assessment in Patients with Intermittent Claudication
14:52

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Published on: December 11, 2013

Reduction of Radiation Exposure during Endovascular Treatment of Peripheral Arterial Disease Combining Fiber Optic RealShape Technology and Intravascular Ultrasound
13:48

Reduction of Radiation Exposure during Endovascular Treatment of Peripheral Arterial Disease Combining Fiber Optic RealShape Technology and Intravascular Ultrasound

Published on: April 21, 2023

Area of Science:

  • Cardiovascular Medicine
  • Vascular Health
  • Public Health

Background:

  • Peripheral arterial disease (PAD) is a major contributor to cardiovascular mortality in Europe, yet awareness of its risks is poor.
  • PAD affects 16% of individuals over 55, with increasing prevalence due to aging populations and rising cardiovascular risk factors.
  • PAD has systemic effects, carrying a higher risk of mortality and cardiovascular events within a year of diagnosis compared to coronary or cerebrovascular disease.

Purpose of the Study:

  • To highlight the underappreciated risks of Peripheral Arterial Disease (PAD).
  • To emphasize the systemic impact and increased mortality risk associated with PAD.
  • To advocate for improved diagnosis and management strategies for PAD.

Main Methods:

  • Review of current understanding and management of PAD.
  • Analysis of PAD prevalence and risk factors.
  • Discussion of multi-disciplinary approaches and internist roles in PAD care.

Main Results:

  • PAD is underdiagnosed and underestimated despite its significant mortality risk.
  • Internists are well-positioned to identify and manage PAD patients due to their role in managing chronic conditions.
  • Multi-disciplinary guidelines emphasize continuity of care, early diagnosis via ankle-brachial index testing, and aggressive risk factor management.

Conclusions:

  • Peripheral arterial disease requires greater clinical attention due to its severe systemic and cardiovascular implications.
  • A unified, proactive, multi-disciplinary approach, spearheaded by internists, is essential for effective PAD management.
  • Early detection through ankle-brachial index testing and robust risk factor control are key to improving outcomes for PAD patients.