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Peripheral Vascular Disease (PVD) is a blood circulation disorder that slowly develops and progresses with time. PVD causes the blood vessels outside your heart and brain to narrow, block, or spasm. PVD is also known as arteriosclerosis obliterans, claudication, arterial insufficiency of the legs, or intermittent claudication. This can also occur in your veins and arteries. Since PVD affects the vessels responsible for pumping blood to vital organs like the brain and legs, the lack of circulation might impact the proper function of these organs. In PVD, the most commonly affected body organs are the legs and feet.
Types
Functional PVD and Organic PVD are the two main types of PVD disorder. In available PVD, no physical damage is seen to the blood vessels. However, in conditions such as Raynaud’s disease, the blood vessels expand or contract independently in response to the stimuli in functional PVD. Physical changes in organic PVD are seen as the blood vessel structure changes with inflammation, plaque, and tissue damage. Visit our cardiology hospital in Mysore to know more.
Causes
Atherosclerosis is the buildup of fats, cholesterol, and plaque inside the artery walls, which restricts the flow of blood to the limbs, thereby causing much pain in the areas of legs and feet. This is the common cause of PVD which also restricts oxygen and nutrients to the tissues. This can get even more severe when blood clots may form on the artery walls causing to block major arteries. PVD can also cause due to following:
Infection
Arm or leg injury
Irregular anatomy of muscles
Patients with coronary artery disease (CAD) often have PVD
Symptoms
While the symptoms of PVD may appear like other conditions, it is ideal to see your healthcare provider for proper diagnosis and treatment. Half of the patients diagnosed with PVD showed no symptoms, while the most common symptom was severe leg cramps. Various other PVD symptoms include:
Weakness and numbness in muscles
Gangrene (Dead tissue as a result of lack of blood flow)
Changes in skin
Pain in toes while resting or lying flat
Paleness in the legs when elevated
Restricted mobility
Thickened toenails
Weak pulses in the legs
Impotence
Hair loss on legs
Prevention
After discussing it with you, your doctor may provide the prevention plan for PVD. The PVD prevention plan focuses on managing the risk factors of PVD. This PVD prevention plan commonly includes a well-balanced diet, weight loss, BP and diabetes control, regular exercise sessions and avoidance of alcohol and tobacco. Book an appointment to have the best treatment.
Diagnosis
Your doctor will ask for your medical history and conducts a physical exam. Now the diagnostic procedure will be performed from any of the diagnoses given below:
Angiogram
Doppler ultrasound flow studies
Magnetic resonance angiography (MRA)
Photoplethysmography (PPG)
Pulse volume recording (PVR) waveform analysis
Ankle-brachial index (ABI)
Treadmill exercise test
Reactive hyperaemia test
Treatment and Surgeries
PVD treatment mainly focuses on decreasing the symptoms and stop the progression of PVD from lowering the risk of heart attack, stroke and other serious complications. Basic treatment includes certain medications, lifestyle changes and treatment of existing conditions that might increase PVD.
If surgery is needed, your doctor will discuss it with you, along with the benefits and complications of the surgery. Vascular surgery and Angioplasty are performed to treat the PVD.
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