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Peripheral artery disease is common, and the symptoms typically include leg discomfort with exercise. Patients with PAD can also have other symptoms such as non-healing wounds on the feet. A simple ABI test with a blood pressure cuff can diagnose PAD. Treatment for PAD includes smoking cessation, medications aimed at preventing heart attack and stroke, and exercise to alleviate the discomfort. Patients with more severe PAD, such as those with wounds that are not healing or those with symptoms that do not respond to medication and exercise, may need to undergo a procedure to restore blood flow to the leg (angioplasty or bypass surgery).
Venous thromboembolism is common, occurring in about one to two per 1000 people each year. DVT is typically diagnosed using ultrasound. PE is usually diagnosed using a CT scan. Anticoagulant medications are the mainstay of treatment; most patients take anticoagulants for a minimum of 3 months. Several important measures can help prevent venous thromboembolism.
We report a case of extensive bilateral lower extremity deep vein thrombosis (DVTs) in a patient recently started on dimethyl fumarate.
Study investigates several issues related to peripheral artery disease (PAD) awareness among general practitioners (GPs) in Queensland. She contends that the study's response rate was low at 26%, however, it clearly highlights the importance of disseminating PAD guidelines and improving ankle-brachial index (ABI) awareness. She notes that the study distinguishes between PAD screening and PAD diagnosis.
Coronary artery disease is a potentially treatable comorbidity observed frequently in both chronic obstructive pulmonary disease and interstitial lung disease. The prevalence of angiographically proven coronary artery disease in advanced lung disease is not well described. We sought to characterize the treatment patterns of coronary artery disease complicating advanced lung disease and to describe the frequency of occult coronary artery disease in this population. Coronary artery disease is common in patients with advanced lung disease attributable to chronic obstructive pulmonary disease or interstitial lung disease and is under-diagnosed. Guideline-recommended cardioprotective medications are suboptimally utilized in this population.
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