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Updated: Jun 14, 2025
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Computerized Dynamic Posturography for Postural Control Assessment in Patients with Intermittent Claudication
Published on: December 11, 2013
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Symptom Descriptors in Individuals Living With Undiagnosed Lower Extremity Peripheral Artery Disease
Rebecca J L Brown1,2, Diane Treat-Jacobson2, Erica Schorr2
1Veterans Affairs Health Services Research and Development Center for Care Delivery and Outcomes Research Minneapolis Veterans Affairs Healthcare System, Minneapolis, MN, USA.
Western Journal of Nursing Research
|August 29, 2024
Summary
Peripheral artery disease (PAD) often presents with atypical symptoms beyond leg pain during exercise. Identifying these subtle signs, like discomfort while sitting or pain outside the calves, is crucial for better diagnosis.
Area of Science:
- Vascular Medicine
- Diagnostic Symptomatology
Background:
- Peripheral artery disease (PAD) frequently manifests with symptoms beyond typical claudication.
- A significant number of individuals with PAD remain undiagnosed due to a lack of tools for detecting atypical symptoms.
Purpose of the Study:
- To identify specific symptom descriptors that differentiate peripheral artery disease (PAD) in a community sample.
- To investigate atypical presentations of PAD.
Main Methods:
- Collected symptom descriptors from 22 participants with persistent lower extremity symptoms.
- Utilized the ankle-brachial index (ABI) with exercise to classify participants as having PAD or not.
Main Results:
- 59% of participants demonstrated a positive ABI, indicating PAD.
- Symptoms such as pain not improving with walking, difficulty keeping pace with others, discomfort while seated, and pain outside the calf/thigh were associated with a positive ABI.
- Atypical symptoms like discomfort while sitting and pain outside the calf/thigh were negatively associated with a positive ABI.
Conclusions:
- Atypical symptoms are prevalent in individuals with lower extremity symptoms suggestive of PAD.
- Precise characterization of symptom presentation is essential for improving the recognition and diagnosis of peripheral artery disease (PAD).
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