The Curbsiders Internal Medicine Podcast #260 Peripheral Artery Disease with Dr. Vlad Lakhter
7 snips
Mar 8, 2021 Dr. Vlad Lakhter, an interventional cardiologist and assistant professor at Temple University, shares his expertise on peripheral artery disease (PAD). He provides a clear framework for diagnosing and managing PAD, emphasizing the importance of early intervention. Listeners will learn about classification systems, risk factors, and treatment options, including when to consider revascularization. The conversation also touches on the real-life implications of PAD, making complex topics accessible and engaging for the audience.
AI Snips
Chapters
Books
Transcript
Episode notes
Defining Peripheral Artery Disease
- Diagnose PAD as atherosclerotic disease causing flow-limiting peripheral artery blockages, mainly in lower extremities.
- Remember PAD can also involve carotid, renal, and upper extremity arteries beyond coronary circulation.
Simple PAD Classification Approach
- Categorize PAD patients as asymptomatic or symptomatic for management.
- Symptomatic patients split into claudication (exertional pain relieved by rest) or critical limb ischemia (rest pain, ulceration, gangrene).
Distinguishing Claudication Types
- Differentiate vascular claudication from neurogenic pseudo-claudication by symptom triggers.
- Vascular claudication is exertional and relieved by rest; neurogenic is positional and relieved by leaning forward.
