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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

279
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...
279
Peripheral Artery Disease IV: Nursing Management01:26

Peripheral Artery Disease IV: Nursing Management

256
 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,...
256
Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

187
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...
187
Assessment of the Cardiovascular System III: Palpation01:27

Assessment of the Cardiovascular System III: Palpation

923
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...
923
Peripheral Artery Disease I: Introduction01:30

Peripheral Artery Disease I: Introduction

244
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...
244
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

291
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...
291

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Computerized Dynamic Posturography for Postural Control Assessment in Patients with Intermittent Claudication
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Why to evaluate the functional capacity in PAD patients?

Pavel Poredoš1, Mateja K Jezovnik2

  • 1The University of Texas, Health Science Center at Houston, Houston, TX, USA.

VASA. Zeitschrift Fur Gefasskrankheiten
|February 6, 2020
PubMed
Summary

Objective functional tests are crucial for assessing mobility limitations in peripheral arterial disease (PAD) patients. These measures help evaluate treatment effectiveness and improve quality of life.

Keywords:
Peripheral arterial diseaseactivities of daily livingintermittent claudicationmobility limitationvascular procedureswalk test

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Area of Science:

  • Vascular Medicine
  • Exercise Physiology
  • Clinical Assessment

Background:

  • Physical exercise capacity is a key indicator of health and quality of life in peripheral arterial disease (PAD) patients.
  • A discrepancy often exists between lower extremity blood flow, arterial obstruction severity, and functional impairment.
  • Revascularization or conservative treatments may not fully restore functional capacity, necessitating objective assessment.

Purpose of the Study:

  • To highlight the need for objective functional tests in PAD patients.
  • To compare the utility of different functional assessment methods.
  • To determine the role of functional capacity in evaluating treatment outcomes.

Main Methods:

  • Review of functional testing methods for PAD, including constant load tests, graded treadmill tests, and the 6-minute walk test.
  • Discussion of the limitations of traditional constant load tests.
  • Emphasis on the graded treadmill test's ability to identify non-vascular exercise limitations.

Main Results:

  • The graded treadmill test can identify exercise limitations not solely due to lower limb arterial disease.
  • The 6-minute walk test is simple but shows a weak correlation with graded treadmill tests, suggesting different underlying mechanisms.
  • Objective functional measures are essential for accurate assessment.

Conclusions:

  • Objective measures of functional impairment are necessary for determining mobility limitations and quality of life in PAD.
  • Functional capacity assessment is linked to quality of life and aids in evaluating the success of peripheral artery revascularization and conservative treatments.