PVD Flashcards
0
Q
Risk of pvd
A
Smoking
DM
HTN
Hld
1
Q
ABI
A
Exercise drop of 25% is abnormal
2
Q
Incidence of pvd
Men more often than woman
A
Blacks more often than non blacks
3
Q
Presentation
A
50% asymptomatic
33% atypical
4
Q
Mortality
A
Biphasic very low abi and abi over 1.4
5
Q
Deaths
A
75% cardiac
25% non cardiac
6
Q
Categories
A
Viable
Threatened viability
Nonviable
7
Q
Indications
A
Class 1 Exertional leg pain Non healing wound Age greater than 65 Age more than 50smoking and DM
8
Q
AAA
A
65-75 smokers Family history AAA Abd pain If AAA found 3.0-3.9 check every 2-3 yrs 4-5.4 every 6 mos
9
Q
Pvd
Aortoiliac
A
CTA or MRI
Mra coukd be done without contrast
10
Q
For endo leaks
A
CTA is the best test
11
Q
Treatment
A
Class 1 Anti platelet in symptomatic pvd Asa Plavix is am alternative 2a Abi less than 0.9 Class 3 Coumadin
12
Q
Statin class 1
A
Cilostazol class one don’t use in CHF
Don’t use pentoxifyllim
13
Q
Need for pvd revascularization
A
Life limiting claudication despite therapy Critical limb ischemia Rest pain Non healing ulcer Gangrene
14
Q
Aorto iliac angioplasty
A
Success 90% Long term 70%at 5 years Poor out come Long segment Multiple lesions Eccentric Poor run off
