The Intern At Work: Internal Medicine cover image

The Intern At Work: Internal Medicine

260. The Internist's Guide to Peripheral Arterial Disease

Nov 24, 2024
In this conversation, Dr. Beth Abramson, a Cardiologist at Unity Health and Associate Professor of Medicine at the University of Toronto, shares her expertise on peripheral arterial disease (PAD). She discusses the critical impact of PAD on health, particularly in individuals over 50. The importance of the Ankle Brachial Index as a diagnostic tool is emphasized, alongside strategies for managing cardiovascular risks like smoking cessation and hypertension. The role of personalized treatment and lifestyle changes for patients with asymptomatic PAD is also highlighted.
19:45

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Quick takeaways

  • Understanding the importance of screening and diagnosing peripheral arterial disease (PAD) can significantly reduce the risk of cardiovascular events in at-risk populations.
  • Effective management of PAD requires a comprehensive approach, including smoking cessation, lipid-lowering therapy, and individualized exercise programs to improve patient outcomes.

Deep dives

Understanding Peripheral Arterial Disease (PAD)

Peripheral arterial disease (PAD) is a significant vascular condition that increases the risk of serious cardiovascular events, including heart attack and stroke. It often goes undiagnosed and undertreated, with patients frequently presenting with symptoms like claudication but failing to recognize the severity of their condition. A majority of patients may not exhibit classic symptoms, leading to misdiagnosis as other lower extremity pain sources such as neuropathy or arthritis. Therefore, it is crucial for healthcare providers, especially internists, to understand PAD's implications and actively inquire about symptoms in at-risk populations, particularly those over 50 or with risk factors such as diabetes and smoking.

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