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The peripheral arterial disease can be diagnosed by touching the impulse of the arterial blood vessel of the foot or measuring theblood pressure(ankle bloodline air pressure ) of the foot.(2 )
Diagnosis of peripheral occlusive arterial disease is free-base on symptoms and the results of a physical examination.(3 )
Depending on the severity of the disease , the best medical specialty is decided by the doctor.(4 )
Peripheral arterial disease is an illness in which the arteries of the foot become narrowed or obstruct mainly due to the advance of arteriosclerosis , and sufficient blood does not flow to the human foot . Traditionally , the peripheral arterial disease was widely known as obstructivearteriosclerosis . It is a disease often triggered by the formation of lipid deposits in blood vessel , which constringe the arteries and limit blood flow rate , similar tocoronary arterial blood vessel diseaseof the pump .
The peripheral arterial disease includesBuerger ’s diseasebut about 95 % of peripheral arterial disease is hindering arterial sclerosis because of arteriosclerosis . Therefore , peripheral arterial disease and arteriosclerosis obliterans are often used under the same name.(1 )
How To Diagnose Peripheral Artery Disease?
It can be diagnose by touching the pulsation of the artery of the foot or measuring the pedigree pressure ( ankle blood pressure ) of the foot.(2 )
Physical Examination Of The symptom : Diagnosis of peripheral occlusive arterial disease is based on symptoms and the results of a physical examination . The physician analyze the skin on the sleeve and legs to check for color and temperature and gently compress on the pelt before unblock it to see how quickly it returns to its original color . These observation can aid determine if enough blood is circulate . We also perform test that straight measure bloodline pressure and blood flow.(3 )
Blood Pressure And Blood Flow Measurement : Blood air pressure is measured using a received line of descent pressure turnup and a special electronic stethoscope . Systolic blood pressureis measured on both arms and legs . If the stemma pressure in the mortise joint is lower than a certain time value equate to the blood pressure sensation in the branch ( less than 90 % of the line pressure in the arm ) , there is deficient blood flowing to the branch , and peripheral obstructive arterial disease can be diagnose .
Pulse Assessment : A pulse assessment is also utilitarian in assessing blood flow . Doctors and nurse first probe the underarms of the odd and right arm , elbows , carpus , groin , ankles , feet , and the back of the stifle . When an artery becomes choked , the pulse from there becomes weaker or wholly invisible .
Measurement Of Tissue Oxygen : transdermic atomic number 8 tension measure measure the O floor in tissues under the hide . This trial indirectly measures blood flowing because O is carried to the tissue by the blood line . The mental test is painless and is done by placing a sensor on the cutis of the affected ramification or arm and top of the chest . The detector ’s electrode warm the field under the skin to temporarily dilate the blood vessels , reach it promiscuous to value oxygen levels with the detector .
Image Inspection : Doppler ultrasonography can be used to straight off measure blood flow and confirm the diagnosis of peripheral occlusive arterial disease . This mental test will accurately define the narrowing or block of blood vessel .
Usually , an angiography interrogatory is done to have a open picture of the abnormal artery before operating theater or angioplasty .
For affected role with induration of the arteries , profligate tests are done to assess cholesterol , blood line boodle , and sometimes homocysteine levels to see if there are any risk of infection factors . Blood pressure is measure several times to determine if the blood pressure is consistently gamy .
Blood tests may also be done to decide other causes of arterial stricture or blockage , such as inflammation of blood vessel from autoimmune diseases.(3 )
What Is The Best Medicine For Peripheral Artery Disease?
First , doctors will assure the risk factor of induration of the arteries such assmoking , hypertension , hyperlipidemia , diabetes , stress , andobesityby strive to give up smoking by restrain a balanced dieting and temperate exercise . If that does n’t help , drug discussion such as antiplatelet drug will be given .
leaning of major therapeutical agents :
In cases with severe numbness , resting pain , and ulcer , revascularization ( percutaneous angioplasty or vascular bypass ) is performed as medical treatment is often not sufficient .
extension :
