Arterial Limb Diseases Flashcards Preview

Jamie Cardiovascular Pathology > Arterial Limb Diseases > Flashcards

Flashcards in Arterial Limb Diseases Deck (17):
1

What is the main symptom of chronic limb iscahemia?

Intermittent claudication

2

What is intermittent claudication?

Cramp-like muscle pain in legs during exercise

3

What is the main differences of critical limb ischaemia compared to chronic? (2)

Pain on rest
Ulceration and gangrene

4

How do you measure the ankle brachial pressure index?

Ankle pressure/brachial pressure

5

What 3 investigations used in the diagnosis of peripheral arterial disease?

Duplex ultrasound
MR angiogram
Angiography

6

What disease can peripheral arterial disease lead to?

Coronary heart disease

7

What are 4 risk factors for hypertension?

Smoking
Exercise
Diabetes
Hypertension

8

What 3 drugs are used to reduce the risk factors of claudicants?

ACE inhibitors
Statins
Aspirin

9

What 4 processes to statins inhibit?

Platelet activation
Plaque rupture
Endothelial activation
Inflammatory activation

10

What non invasive therapy can be used to treat intermittent claudication?

Exercise therapy

11

What procedure is performed for intermittent claudication if therapy is unsuccessful?

Angioplasty

12

At what absolute ankle pressure is it critical limb ischaemia?

Above 50mmHg

13

What are the main 2 causes of acute limb ischaemia and how do you differentiate?

Embolus (claudication)
Thrombosis (atrial fibrillation)

14

What investigations should be performed if acute limb ischaemia is suspected? (3)

ECG
CXR
FBC

15

If the patient has acute limb ischaemia caused by an embolus, what action should be taken?

Surgery as soon as possible

16

What drug should be given as 1st line treatment for acute limb ischaemia?

Heparin

17

What 2 techniques can be performed on a salvageable leg during critical limb ischaemia?

Thrombolysis
Embolectomy