By Dr Sibasankar Dalai
Sr. Consultant Neuro Vascular Intervention
Published on 10/05/2022
- What is Peripheral Arterial Disease
- Risk Factors
What is Peripheral Arterial Disease?
- Cramping in one or both hips, thighs, or calf muscles after doing specific tasks, such as walking or ascending stairs
- Numbness or weakness in the legs
- Coldness in your lower leg or foot, particularly when contrasted to the other side
- Unhealing wounds on your toes, foot, or legs
- A difference in the color of your legs
- On your feet and legs, you may experience hair loss or decreased hair growth.
- Hands or arms that become easily fatigued
- Toenail development is slowed.
- Legs with gleaming skin
- You have no pulse or a faint pulse in your legs or feet.
- Male erectile dysfunction
- Aching and cramping in your arms when crocheting, writing, or performing other manual chores
- Manage symptoms like leg discomfort so you may continue physical activity.
- Reduce your risk of heart attack and stroke by halting the growth of atherosclerosis throughout your body.
- You may be able to achieve these goals with lifestyle adjustments, especially if you are diagnosed with peripheral artery disease early enough. If you smoke, the single most essential thing you can do to lower your chance of issues is to quit. Walking or doing another exercise regularly according to a program, referred to as supervised exercise training, can significantly improve your symptoms.
- If you have signs or symptoms of peripheral artery disease, you will almost certainly require extra medical attention. Your doctor may advise you to take medication to avoid blood clots, decrease blood pressure and cholesterol, and manage pain and other symptoms.
- Medication for decreasing cholesterol. To reduce your risk of heart attack and stroke, you may take a cholesterol-lowering medication known as a statin.
- Lowering low-density lipoprotein (LDL) cholesterol, or "bad" cholesterol, to less than 100 milligrams per deciliter (mg/dL) or 2.6 millimoles per liter (mmol/L) is the objective for persons with peripheral artery disease. If you have additional major risk factors for heart attack and strokes, such as diabetes or prolonged smoking, the objective is considerably lower.
- Medication for high blood pressure. If you have high blood pressure, your doctor may prescribe drugs to help you manage it.
- Your treatment objective for blood pressure should be less than 130/80 millimeters of mercury (mm Hg). This is the recommendation for anyone suffering from coronary artery disease, diabetes, or chronic renal disease. Aiming for 130/80 mm Hg is also the aim for healthy persons 65 and older, as well as healthy adults younger than 65 who are at a 10% or greater risk of developing cardiovascular disease in the following ten years.
- Medication is used to regulate blood sugar levels. Controlling your blood sugar levels becomes much more critical if you have diabetes. Discuss your blood sugar objectives with your doctor, as well as the measures you need to take to accomplish these goals.
- Preventing blood clots medications- Because peripheral artery disease is associated with decreased blood flow to your limbs, it is critical to increase that flow.
- Your doctor may advise you to take aspirin every day or to take another medicine, such as clopidogrel (Plavix).
- Medications for symptom alleviation - Cilostazol enhances blood flow to the limbs by both keeping the blood thin and expanding the blood vessels. It is very useful in treating leg discomfort in persons with peripheral artery disease. Headache and diarrhea are common adverse effects of this drug.
- Pentoxifylline is an alternative to cilostazol (Pentoxil). This medicine has few side effects, however, it does not function as effectively as cilostazol.
Angioplasty And Surgery
- Overweight (a body mass index over 30)
- Blood pressure is too high.
- High levels of cholesterol
Frequently Asked Questions:
The symptoms are - leg pain, numbness, weakness, cramps in the thighs legs, etc.
The narrowing or blockage of the veins that convey blood from the heart to the legs is known as a peripheral arterial disease (PAD) in the legs or lower extremities. It is largely caused by the accumulation of fatty plaque in the arteries, a condition known as atherosclerosis.
PAD most often affects the arteries in the legs, but it can also damage the arteries that transport blood from your heart to your brain, arms, kidneys, and stomach. PAD, like blocked arteries in the heart, increases the chance of having a heart attack, stroke, or possibly dying.