AHA/ACC 2016: PAD Flashcards Preview

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Flashcards in AHA/ACC 2016: PAD Deck (7)
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What to review for if a patient is at increased risk of PAD

Exertional leg symptoms like walking impairment, ischemic rest pain, nonhealing wounds


What sort of examinations should a patient at risk for PAD undergo

Vascular examinations that include palpitation of lower extremity pulses, auscultation for femoral bruits, and inspection of legs and feet
Also BP measurement in Both arms at least once during the initial assessment


If history and physical exam suggest PAD (or even if they don't but as long as they have an increased risk of PAD), what to look at next
And then what to look at if that is high

resting ankle-brachial index (ABI)
then toe-brachial index (TBI) if ABI is high
if ABI is borderline or normal, can use exercise treadmill ABI testing


If symptomatic PAD, recommended medication therapy

ASA alone (75 - 325 mg per day) or
Clopidogrel alone (75 mg daily)


If asymptomatic PAD, is it reasonable to use antiplatelet therapy?



When could DAPT be considered in the setting of symptomatic PAD?

After lower extremity revascularization, to reduce the risk of limb ischemia


Should anticoagulation be used to reduce the risk of cardiovascular ischemic events in patients with PAD?