Flashcards in Vascular disease Deck (10):
What is peripheral artery disease good at predicting?
- Angiography identifies coronary artery disease in 90% of patients with PAD.
- Stress test demonstrate reversible ischemia in 2/3rds of patients with PAD.
Where is the most common area for ruptured AA?
Because of the lack of vasa vasorum in this region
Vasa vasorum: a network of small blood vessels that supply the walls of large blood vessels
What is takayasu's arteritis?
Where does it affect
Who is most likely to get it?
Vasculitis that causes blood vessel inflammation.
- Specifically the aorta
- Can lead to stenosis or aneurysms of the aorta.
- Women 10-40, more common in asian population.
What is thromboangiitis obliterans?
Aka: buerger disease
Inflammatory endarteritis that causes a prothrombotic state, effecting small to medium vessels in UE and LE.
- Strongly associated with smoking
Tx: Only effective therapy is to discontinue smoking.
Risk factors for peripheral artery disease
Symptoms of acute peripheral arterial occlusion?
6 P's again.
Most common symptom of chronic PAD?
Intermittent claudication: muscular pain, aching or numbness that occurs during exercise and improves with rest.
ABI what is normal and what is considered abnormal?
LE BP is usually slightly higher the UE BP
normal is >1.0
ABI of <0.95 suggests PAD
ABI of <0.5 consistent with severe disease.
Who to screen for AAA?
Men between 65 and 75 who have ever smoked.