Video Experimental Relacionado
Updated: May 11, 2026
14:52
Computerized Dynamic Posturography for Postural Control Assessment in Patients with Intermittent Claudication
Published on: December 11, 2013
Síntomas en las piernas en la enfermedad arterial periférica: características clínicas asociadas y deterioro
M M McDermott1, P Greenland, K Liu
1Department of Medicine, Northwestern University Medical School, Chicago, IL, USA. mdm608@northwestern.edu
JAMA
|October 5, 2001
Resumen
La enfermedad arterial periférica (EAP) se presenta con diversos síntomas en las piernas más allá de la claudicación intermitente (CI). Estos diversos síntomas se correlacionan con diferentes limitaciones funcionales y comorbilidades en pacientes con EAP.
Área de la Ciencia:
- La medicina vascular es una medicina vascular.
- La investigación clínica es la investigación clínica.
- El funcionamiento del paciente.
Sus antecedentes:
- La enfermedad arterial periférica (EAP) a menudo se manifiesta con síntomas en las piernas más allá de la clásica claudicación intermitente (CI).
- Muchos pacientes con EAP son asintomáticos o presentan quejas atípicas en las piernas.
- Comprender el espectro de síntomas de las piernas es crucial para el manejo integral de la EAP.
Objetivo del estudio:
- Identificar las características clínicas y las limitaciones funcionales asociadas con una amplia gama de síntomas de las piernas en pacientes con EAP.
- Para diferenciar las deficiencias funcionales a través de varias presentaciones de síntomas de PAD.
- Explorar el impacto de las comorbilidades en los síntomas de las piernas en la EAP.
Principales métodos:
- Estudio transversal en el que participaron 460 pacientes con EAP y 130 controles.
- Se utilizó el índice tobillo-braquial (ABI) para diagnosticar la EAP.
- Evaluar el estado funcional utilizando caminatas de 6 minutos, monitores de actividad física, elevaciones de sillas, pruebas de equilibrio, velocidad al caminar y cuestionarios validados.
Principales resultados:
- Todos los grupos de PAD exhibieron un funcionamiento más pobre en comparación con los controles.
- Los grupos de dolor de pierna por esfuerzo atípico demostraron una mejor función que el grupo de IC.
- Los pacientes con dolor en las piernas en reposo y esfuerzo mostraron déficits funcionales significativos y tasas más altas de comorbilidad (por ejemplo, diabetes, estenosis espinal).
Conclusiones:
- La enfermedad arterial periférica (EAP) abarca una gama más amplia de síntomas en las piernas que solo la claudicación intermitente (CI).
- Es probable que las condiciones comórbidas contribuyan a los diversos síntomas de las piernas observados en la EAP.
- Las deficiencias funcionales son frecuentes en todos los grupos de síntomas de la EAP, con una gravedad que varía según el tipo de síntoma.
Más Videos Relacionados
Videos de Conceptos Relacionados
01:27Assessment of the Cardiovascular System III: Palpation
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 the...
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 the...
01:27Atherosclerosis II: Clinical Manifestations and Diagnostic Tests
Atherosclerosis is a progressive disorder that leads to the thickening and narrowing of arterial walls due to plaque buildup. This condition can cause various symptoms depending on the arteries affected:Coronary Artery Disease (CAD): This condition affects the coronary arteries and may lead to chest pain (angina), shortness of breath (dyspnea), heart attacks, and other heart disease symptoms.Cerebrovascular Disease: This affects blood flow to the brain, causing transient ischemic attacks (TIAs)...
01:30Peripheral 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...
01:21Peripheral 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...
01:27Peripheral 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...
01:26Peripheral 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,...