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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

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

Peripheral Artery Disease IV: Nursing Management

702
 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,...
702
Peripheral Artery Disease I: Introduction01:30

Peripheral Artery Disease I: Introduction

659
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...
659
Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

655
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...
655
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

630
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...
630
Assessment of the Cardiovascular System III: Palpation01:27

Assessment of the Cardiovascular System III: Palpation

1.6K
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...
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Related Experiment Video

Updated: May 1, 2026

Computerized Dynamic Posturography for Postural Control Assessment in Patients with Intermittent Claudication
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Screening for peripheral arterial disease.

Alina Andras1, Bart Ferket

  • 1Northern Vascular Centre, Freeman Hospital, Newcastle upon Tyne, UK, NE7 7DN.

The Cochrane Database of Systematic Reviews
|April 9, 2014
PubMed
Summary

Screening for peripheral arterial disease (PAD) in asymptomatic individuals lacks randomized controlled trial data. Further research is needed to determine if PAD screening reduces mortality and cardiovascular events.

Area of Science:

  • Vascular Medicine
  • Preventive Cardiology
  • Public Health Screening

Background:

  • Peripheral arterial disease (PAD) affects up to 20% of older adults and is often asymptomatic.
  • PAD significantly increases the risk of mortality, cardiovascular events, and limb loss.
  • Early detection and management of PAD are crucial for mitigating these risks.

Purpose of the Study:

  • To evaluate the effectiveness of screening for PAD in asymptomatic individuals.
  • To assess the impact of screening on all-cause mortality and cardiovascular events.
  • To determine the effect on PAD-related morbidity and quality of life.

Main Methods:

  • A systematic search for randomized controlled trials (RCTs) was conducted.
  • Searches included the Cochrane Peripheral Vascular Diseases Group Specialised Register and CENTRAL up to November 2013.

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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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  • All published and unpublished RCTs were considered without language restriction.

    • Main Results:

    • No randomized controlled trials (RCTs) met the inclusion criteria for the review.
    • There is a lack of empirical evidence from RCTs regarding PAD screening effectiveness.

    Conclusions:

    • Currently, no RCT data exist to support or refute the effectiveness of PAD screening.
    • High-quality RCTs are essential to guide healthcare providers and policymakers on PAD screening strategies.
    • Further research is needed to determine the benefits of screening for reducing mortality, cardiovascular events, and improving quality of life.