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Peripheral
Vascular Disease
Peripheral vascular disease (PVD) is a disease process affecting the
aorta and blood vessels leading to the extremities. These vessels
accumulate cholesterol and calcium in their lining that can result
in narrowing. Typically men are more likely to develop this problem
but women are affected as well. Risk factors identified are:
hypertension (high blood pressure), cigarette smoking, high blood
cholesterol, sedentary lifestyle, and diabetes. Modification of
these risk factors by controlling blood pressure, cessation of
smoking, lowering cholesterol, exercise programs, and good control
of blood sugar can help to slow this disease process. Unfortunately
because the narrowing of the blood vessels or “hardening of the
arteries” occurs slowly over time, this disease often goes
unnoticed.
Blood vessels are designed to carry nutrients, blood cells, and most
importantly oxygen, to the muscles and other tissues of the limb.
When the vessel becomes too narrowed or blocked because of PVD, the
tissues of the limb don’t receive adequate blood and oxygen.
Claudication is one of the early symptoms of this limited supply of
oxygen and is noticed by the person as a cramping of the calf
muscles at a predictable distance or level of exercise. This may
occur while jogging, playing golf, working, or simply walking the
mall. The muscles in the legs require more oxygen during these
activities that the body cannot supply because of the narrowed blood
vessels. Stopping the activity when the legs start to cramp restores
the oxygen debt of the muscles and the cramping goes away.
Unfortunately many people ignore the early signs of this disease,
attributing the claudication to old age, being out of shape, or not
wanting to think that a problem exists. If you are experiencing
claudication, a physician performing a good examination of the legs
checking for hair loss, skin changes, diminished pulses, and
comparison of blood pressures in the legs and arms can help to
identify PVD and weather more testing and/or intervention is needed.
This medical update is provided to you by Dr. Mark E. Petrites. His
office is located in the Bonita Community Health Center.
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