Peripheral Artery Disease

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.

Sommario

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
 
Introduction 73
 
Computed Tomography Angiography 73
 
Basics 73
 
Image Acquisition and Interpretation 74
 
Protocol 74
 
Advantages 76
 
Pitfalls 76
 
Calcification 76
 
Artifacts 76
 
Radiation Exposure 76
 
Contrast?]Induced Nephropathy 76
 
Anaphylaxis 77
 
Magnetic Resonance Angiography 77
 
Basics 77
 
Image Acquisition and Interpretation 77
 
Protocol 77
 
Non?]Contrast?]Enhanced MRA 77
 
Contrast?]Enhanced MRA (CE?]MRA) 78
 
Post?]Processing and Interpretation 78
 
Advantages 78
 
Pitfalls 80
 
Time 80
 
Nephrogenic Systemic Fibrosis 80
 
Bolus Timing 80
 
Artifacts 80
 
Other Pitfalls 80
 
Conventional Angiography 81
 
Basics 81
 
Image Acquisition and Interpretation 81
 
Pre?]Procedure Patient Care 81
 
Protocol 81
 
Advantages 82
 
Pitfalls 82
 
Contrast?]

Info autore

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.

Riassunto

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.

Dettagli sul prodotto

• Autori: Michael R Jaff, Michael R. Jaff, E Mohler, Emile Mohler, Emile R Mohler, Emile R. Mohler, Emile R. (Penn Heart and Vascular Centre Mohler, Emile R. Jaff Mohler
• Con la collaborazione di: Michael R. Jaff (Editore), Jaff Michael R. (Editore), Emile R. Mohler (Editore), Mohler Emile R. (Editore), R Jaff (Editore), R Jaff (Editore), Emil R Mohler (Editore), Emile R Mohler (Editore)
• Editore: Wiley, John and Sons Ltd
• Lingue: Inglese
• Formato: Copertina rigida
• Pubblicazione: 31.10.2017
• EAN: 9781118776094
• ISBN: 978-1-118-77609-4
• Pagine: 208
• Categorie: Scienze naturali, medicina, informatica, tecnica > Medicina > Tematiche generali; Medizin, Kardiologie, Medical Science, Invasive Kardiologie, Interventional Cardiology, Endovaskuläre Medizin, Endovascular Medicine, Peripheral Artery Disease