Peripheral diseases Flashcards
(16 cards)
What is a strong risk factor for peripheral arterial disease (PAD)?
Smoking
How should comorbidities be managed in patients with PAD?
Comorbidities in PAD patients should be treated, including:
Hypertension
Diabetes mellitus
Obesity
What is the recommended statin for patients with established cardiovascular disease, including PAD?
Atorvastatin 80 mg is currently recommended.
What does NICE recommend as the first-line antiplatelet therapy for PAD?
clopidogrel
What role does exercise training play in the management of PAD?
significant benefits
NICE recommends a supervised exercise programme for all patients with PAD prior to other interventions.
What are the treatments for severe PAD or critical limb ischaemia?
Endovascular revascularization
Surgical revascularization
Amputation should be reserved for patients with critical limb ischaemia who are not suitable for other interventions such as angioplasty of bypass surgery.
What drugs are licensed for use in PAD?
Naftidrofuryl oxalate: A vasodilator, sometimes used for patients with poor quality of life.
Cilostazol: A phosphodiesterase III inhibitor with both antiplatelet and vasodilator effects (not recommended by NICE).
What is the second-line antiplatelet therapy for peripheral arterial disease?
If clopidogrel is contraindicated for peripheral arterial disease, use:
Aspirin (lifelong)
What is Buerger’s disease also known as?
Buerger’s disease is also known as thromboangiitis obliterans.
What type of vasculitis is Buerger’s disease?
Buerger’s disease is a small and medium vessel vasculitis.
What is the main risk factor for developing Buerger’s disease?
Smoking is strongly associated with Buerger’s disease.
What is a common feature of Buerger’s disease?
Extremity ischemia is a common feature of Buerger’s disease.
What symptom of Buerger’s disease involves pain while walking due to reduced blood flow?
Intermittent claudication is a symptom of Buerger’s disease.
What type of skin lesions can occur in Buerger’s disease?
Ischemic ulcers can occur in Buerger’s disease.
What other condition can occur alongside Buerger’s disease due to blood clotting in the veins?
Superficial thrombophlebitis can occur in Buerger’s disease.
What phenomenon involving color changes in the extremities may be present in Buerger’s disease?
Raynaud’s phenomenon may be present in Buerger’s disease.
