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Related Concept Videos

Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

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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...
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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

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 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,...
12
Peripheral Artery Disease I: Introduction01:30

Peripheral Artery Disease I: Introduction

9
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 but also impacts other areas, such as the arms, thereby impairing overall circulation and organ function.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty deposits inside the arterial...
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Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

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

Assessment of the Cardiovascular System III: Palpation

353
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...
353

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Gender Differences and Amputation Risk in Peripheral Artery Disease-A Single-Center Experience.

Viviana Onofrei1,2, Cristina Andreea Adam1,3, Dragos Traian Marius Marcu1,4

  • 1Department of Medical Specialties I, "Grigore T. Popa" University of Medicine and Pharmacy, University Street No. 16, 700115 Iasi, Romania.

Diagnostics (Basel, Switzerland)
|October 14, 2023
PubMed
Summary
This summary is machine-generated.

This study reveals key gender-specific differences in peripheral artery disease (PAD) presentation and risk factors. Understanding these clinical particularities is crucial for optimizing treatment and improving outcomes for both men and women with PAD.

Keywords:
amputationcardiovascular riskgendermortalityperipheral artery diseaserisk scores

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Area of Science:

  • Cardiovascular Medicine
  • Vascular Surgery
  • Epidemiology

Background:

  • Peripheral artery disease (PAD) affects both genders, with distinct clinical and therapeutic aspects influencing prognosis.
  • Gender-specific knowledge in PAD management can modulate amputation risk and reduce mortality or acute vascular events.
  • Optimal management strategies require understanding the nuances of PAD in men versus women.

Purpose of the Study:

  • To investigate and compare the clinical and paraclinical characteristics of peripheral artery disease (PAD) between genders.
  • To identify gender-specific risk factors and predictors of adverse outcomes, such as amputation, in PAD patients.
  • To provide insights for tailored diagnostic and therapeutic approaches in male and female PAD patients.

Main Methods:

  • Retrospective, descriptive study of 652 peripheral artery disease (PAD) patients.
  • Patients were divided into two groups: 100 women and 552 men.
  • Evaluation included demographics, anthropometric data, and clinical/paraclinical parameters.

Main Results:

  • Men were younger, had higher BMI, and were more frequent smokers.
  • Women showed higher rates of hypercholesterolemia, obesity, cerebrovascular disease, and chronic kidney disease.
  • Men had higher rates of coronary artery disease; both genders exhibited stenotic lesions, with smoking and inflammatory markers correlating with lesion severity and ankle-brachial index (ABI).

Conclusions:

  • Clinical-paraclinical particularities in PAD differ significantly between genders.
  • Identifying these differences provides valuable prognostic and therapeutic tools for clinicians.
  • Tailored management based on gender-specific factors can optimize patient outcomes and reduce risks.