PERIPHERAL ARTERIAL DISEASE (PAD)

 

SCOPE OF PROBLEM

PAD
Atherosclerosis is the most common cause of PAD but other causes are well recognized and need to be kept in mind in suspected PAD patients. PAD carries a significant morbidity and mortality and is a leading cause of surgical amputations.

RISK FACTORS FOR PAD

The peripheral arterial disease is a multifactorial disease and usually, multiple factors come in to play. A few of them can be modified like weight, cholesterol control & smoking. Rest cannot be modified like age, race & gender.

  • Increasing age
  • Male gender (risk in women is same after menopause)
  • Smoking
  • African American & Hispanic races
  • High Cholesterol
  • High Blood Pressure
  • Diabetes mellitus
  • Chronic Kidney disease

MANAGEMENT OF PAD WITHOUT SURGERY

MANAGEMENT OF PAD WITHOUT SURGERY
Nearly 90% of PAD patients can be stabilized avoiding the need for surgery or intervention if appropriate care is started early and patient follows the medical instructions and is on appropriate medications.

  • Smoke cessation
  • Blood glucose control
  • Aggressive cholesterol management
  • Anti-platelet medications like Aspirin or Clopidogrel
  • Blood pressure control
  • Weight management
  • Supervised walking therapy
  • Vasodilators like Cilostazol.

WHAT CAUSES PAD

Atherosclerosis is the most common cause of PAD but other causes are well recognized and need to be kept in mind in suspected PAD patients.

  • Smoke cessation
  • Atherosclerosis, most common cause of PAD
  • muscular dysplasia
  • inflammation of arteries mostly called Vasculitis
  • Buerger’s Disease
  • Arterial entrapment
  • Endofibrosis

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boston vein care

Boston Vein Care is a comprehensive vein center, wound carer & vascular medicine practice offering the full spectrum of the vein, wound & vascular diagnostic & treatments. We also provide health screening from offices in Wellesley, MA & Chelmsford, MA.