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A comprehensive, quick-reference guide to the diagnosis and management of peripheral artery disease for non-specialists With an aging population subject to an increasing number of health risks, peripheral artery disease (PAD) is on the rise throughout the world. Because of PAD's direct links to heart attack and stroke, it is critical that internists, surgeons, cardiologists, radiologists, gerontologists, GPs, and family practitioners know how to recognize it and make the best treatment recommendations for their patients. This book provides all the expert, practical information and guidance…mehr
A comprehensive, quick-reference guide to the diagnosis and management of peripheral artery disease for non-specialists With an aging population subject to an increasing number of health risks, peripheral artery disease (PAD) is on the rise throughout the world. Because of PAD's direct links to heart attack and stroke, it is critical that internists, surgeons, cardiologists, radiologists, gerontologists, GPs, and family practitioners know how to recognize it and make the best treatment recommendations for their patients. This book provides all the expert, practical information and guidance they need to do just that. Edited by two thought leaders in PAD diagnosis and treatment, and comprising chapters written by subject matter experts, Peripheral Artery Disease, Second Edition provides clinicians with guidance on how to diagnose and treat one of the most under-diagnosed conditions affecting millions of patients. This updated and revised edition of the popular guide distills the complexities of PAD into clear, actionable advice for busy medical practitioners, providing them with the information they need--when they need it. * Provides clinicians with essential information for recognizing and treating this under-diagnosed condition that affects millions of patients * Distills the complexities of PAD, from diagnosis to traditional and emerging treatment options, into clear, actionable advice for clinicians * Covers PAD epidemiology, office examination, imaging, laboratory evaluation, medical therapy, surgical interventions, endovascular treatments, and much more * Reflects the latest PAD Guidelines and Performance Measures established by leading specialty societies * Features contributions from internists and surgeons, all recognized experts in PAD Peripheral Artery Disease, Second Edition is an important working reference for internists, cardiologists, radiologists, and surgeons, as well as fellows and residents in those fields.
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Autorenporträt
Emile R. Mohler, MD, MSVM, FACC, FAHA is Director of Vascular Medicine for the University of Pennsylvania Health System, and Professor of Medicine for the Perelman School of Medicine at the University of Pennsylvania, Philadelphia Pennsylvania, USA Michael R. Jaff, DO, FACP, FACC, FAHA, MSVM is Professor of Medicine, Harvard Medical School and President of Newton-Wellesley Hospital in Newton, Massachusetts, USA.
Inhaltsangabe
Contributors xi
Preface xiii
1 Epidemiology of Peripheral Artery Disease 1 Wobo Bekwelem and Alan T. Hirsch
Definitions 1
PAD
Clinical Syndromes 2
Prevalence and Incidence 3
Asymptomatic PAD 8
Claudication 10
Atypical Leg Pain 12
Critical Limb Ischemia 12
Acute Limb Ischemia 13
Risk Factors for Development of PAD 13
Tobacco Use 14
Diabetes Mellitus 15
Dyslipidemia 15
Hypertension 16
Homocysteinemia 16
C?]Reactive Protein and Fibrinogen 17
Obesity 17
Other Risk Factors 18
Awareness of PAD in the Community 20
Progression, Natural History, and Outcomes of PAD 20
Progression 20
Natural History and Outcomes 22
Summary 24
References 26
2 Office Evaluation of Peripheral Artery Disease - History and Physical Examination Strategies 37 Maen Nusair and Robert S. Dieter
Introduction 37
Identifying At-Risk Individuals 37
Regional Symptom Analysis 38
Neurologic Symptoms 38
Thoracic Symptoms 40
Abdominal Pain 41
Extremity Pain 42
Skin Manifestations 44
Physical Examination 46
General Appearance 46
Head and Neck Examination 46
Chest 48
Abdominal Examination 48
Lower Extremity Examination 49
Palpating for Pulses 50
Auscultation 52
References 53
3 Vascular Laboratory Evaluation of Peripheral Artery Disease 57 Thomas Rooke
Introduction 57
Anatomic 57
Hemodynamic 57
Functional 58
Physiological Testing 58
Background/History 58
Physiological Invasive Testing 58
Physiological Non?]Invasive Testing 58
Vascular Laboratory 59
Doppler 59
Motion Detection 59
Waveform Analysis 60
Plethysmography 60
PVR Amplitude 61
PVR Contour 62
Ankle-Brachial Index (ABI) and Segmental Pressures 63
Tissue Perfusion 65
Transcutaneous Oximetry (TcPO2) 66
Duplex Scanning 67
Background/History 67
Imaging (Anatomy) 67
Doppler (Hemodynamic) 68
Vascular Laboratory Accreditation 69
References 69
4 Magnetic Resonance, Computed Tomographic, and Angiographic Imaging of Peripheral Artery Disease 73 Thomas Le, Masahiro Horikawa and John A. Kaufman
