Transcript of ENFERMEDAD ARTERIAL PERIFERICA agudos o crónicos, generalmente derivados de una enfermedad arterial oclusiva que. ES UNA ENFERMEDAD ARTERIAL OCLUSIVA DE LOS MIEMBROS LA CIRCULACION CEREBRAL, CARDIACA Y PERIFERICA. Request PDF on ResearchGate | Enfermedad arterial periférica: aspectos fisiopatológicos, clínicos y terapéuticos | Peripheral artery disease is one of the most.

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Endovascular therapy was slightly superior to surgery in the long term. Currently, this form of treatment is surpassing traditional surgery for the management of intermittent claudication. Vasodilator agents showed a moderate improvement in maximal walking distance, but the greatest benefit seems to come from the use of statins.

Mild Arterail is indicated at ratio values of 0. Once clinical classification is made, the next step is identifying the relevant anatomical segments where the stenotic lesions are using radiological tests.

Although patients taking Cilostazol had more side effects, no serious adverse effects were reported. The fate of the claudicant: Medical management is now the first choice, and an improvement of claudication and quality of health can be achieved using a combination of statins, platelet aggregation enfermedadd and the new inhibitor of cyclic AMP adenosin monophosfateCilostazol.

J Vasc Surg ; The most reliable clinical sign to predict the presence of PAD was the absence or presence of palpable pulses. Can duplex scan arterial mapping replace contrast arteriography as the oclusova of choice before infrainguinal revascularization?

Understanding medical treatment in lower limb peripheral arterial disease

Trans- atlantic Intersociety Consensus T. Chronic lower extremity ischemia. Surgery is no longer a treatment indication for claudication as proven by the trials discussed in previous paragraphs as patency rates are inadequate after 3 to 5 years post intervention.

It is imperative to establish a correct diagnosis of the disease, trying to identify causes of pseudoclaudication. Capillary refill time had a very poor diagnostic accuracy in this study. The American Heart Association and the American College of Cardiology have issued in general recommendations for the management of modifiable risk factors in patients with vascular disease, especially for smoking, dyslipidemia, hypertension, obesity and diabetes Exercise for intermittent claudication Review.


This wide spectrum of alternatives results in patients with PAD not being detected early while management options remain widely unknown to general practitioners 1.

It is imperative to gather additional information regarding other vascular beds coronary and cerebral and other risk factors for atherosclerosis. A metaanalysis proving the benefits of Cilostazol by showing an increase in walking distances and quality of life was published in by Thompson et al. Both methods improved significantly walking distance and quality of life of patients, whilst resistance training had a better effect on overall functional performance measured by walking distance, quality of life questionnaire and step climbing ability The women’s health and aging study.

Circulation ; Suppl 4: Vasc Med ;11 1: It also states that the most beneficial protocol consists of a treadmill or walking that is of sufficient intensity to bring on the claudication followed by rest and resuming the walking for a 60 minute session, to be conducted at enfermedadd 3 times a week.

A recent survey by Taylor et al.

Enfermedad arterial periférica (PAD)

Do current outcomes justify more liberal use of revascularization for vasculogenic claudication? The association of the ankle-brachial index with incident coronary heart disease: The use of antiplatelet agents, Cilostazol and statins should be liberal, unless contraindicated.

Br Med J ; There are two main classification systems: As a general recommendation by most vascular laboratories, the preferred method for auscultation the pulses after deflation of the pressure cuff is using a hand-held Doppler with frequencies of 8 mHz and this should be used for every measurement. The exact mechanisms by which it improves claudication distance are still unknown and additional effects may explain them Rest pain starts to appear at values of 0.

In sedentary patients symptoms may therefore not be apparent initially unless a stress test is applied. Meta-analysis of results from eight randomized, placebo-controlled trials on the oclusjva of cilostazol on patients with intermittent claudication. The likelihood of having PAD was further increased in patients with intermittent claudication, and with additional risk factors such as age, smoking, dyslipidemia and diabetes mellitus.

Claudication pain is caused mainly due to the excessive production of lactate from anaerobic glicolysis in patients with decreased supply of oxygen in PAD.


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Asymptomatic PAD is independently associated with impaired lower extremity functioning: The same effect was also observed when analyzing the amount of time spent on the treadmill which was shorter for lower ABPIs.

Calf muscle adaptation in intermittent claudication. Initially increased collateral blood flow was thought to be the cause of this adaptation, but a study by Jansson et al, revealed the adaptations of muscles to be the principal mechanism for improving claudication Vasc Med ;[Epub ahead of print] may However, when the aeterial of normal clinical signs periferiac low risk factors are present, the physician can safely rule out PAD.

Antiplatelet Trialists ColaborationCollaborative overview of randomised trials of antiplatelet therapy-I: Vascular surgery is unique amongst surgical specialties, because it includes not only surgical treatment options but also non-invasive medical therapies for patients with peripheral arterial disease PAD.


Additionally smoking was associated to progression of enfermedar disease up to having rest pain Fontaine IIIcompared to patients who quit in a seven year period The spectrum of the disease can range from asymptomatic patients which constitute the majority of patientspatients with intermittent claudication and patients with rest pain and critical ischemia.

Sensitivity and specific- ity of the ankle-brachial index to predict future car- diovascular outcomes: Public Health Service, such as the use of nicotine patches, inhalers, gum or bupropion The most recent indication is to use PGE1 in patients who are unable arteriql tolerate exercise training.

Enfermedad Arterial Periférica by Itzel Alvarado on Prezi Next

Antiplatelet therapy for peripheral arterial disease and claudication. Effect of cilostazol, a phosphodiesterase III inhibitor, on experimental thrombosis in the porcine carotid artery.

The tobacco use and dependence clinical practice guideline Panel S, and Consortium Representatives.