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Heart Disease (Expert Forum)
PVD and CAD: Relationship?
Answered by
Cleveland - OH
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PVD and CAD: Relationship?
by raggedclaw, Feb 02, 2006 12:00AM
First, let me note that I was an RN. (I couldn't stand the stress, so I left that years ago). I relate that so you know I have some medical background -- most importantly, I "know that I don't know."
I have been diagnosed with "aorto-iliac occlusive disease, etiology undetermined, suspected arteriosclerotic." Additional notes indicate "A significant amount of collateral venous flow was noted over the left thigh proximal to the inguinal ligament with some disorganization of the iliac vein with a large but tortuous channel draining the left leg. It was therefore the impression of the phlebogram that good flow through the deep venous systems of both legs existed. There was considerable collateral flow in the left thigh, but a main channel was present and satisfactorily draining the lower extremity. The tortuous course of the large channel within the left pelvis suggests residual changes of thrombophlebitis."
I wear strong support hose from toes to groin on my left leg. A day without hose results in pitting edema. Also, the abnormalities have resulted in meralgia paresthetica.
The diagnosis was part a major work up after DVT and phlebitis in the left leg, which were post-op to a right thoracotomy with pleural abrasion. The chest cutting was in response to recurrent pneumothoraces.
The use of "arteriosclerotic" instead of "atherosclerotic" was probably an informed choice since the diagnosis was made by the Air Force Vascular Laboratory at Wilford Hall USAF Medical Center in San Antonio.
Now, my question: Does the "suspected arteriosclerotic" finding indicate an increased risk of future problems for other parts of my circulatory system -- specifically coronary artery disease?
Could you refer me to any research that might be pertinent to my question?
Thanks.
I have been diagnosed with "aorto-iliac occlusive disease, etiology undetermined, suspected arteriosclerotic." Additional notes indicate "A significant amount of collateral venous flow was noted over the left thigh proximal to the inguinal ligament with some disorganization of the iliac vein with a large but tortuous channel draining the left leg. It was therefore the impression of the phlebogram that good flow through the deep venous systems of both legs existed. There was considerable collateral flow in the left thigh, but a main channel was present and satisfactorily draining the lower extremity. The tortuous course of the large channel within the left pelvis suggests residual changes of thrombophlebitis."
I wear strong support hose from toes to groin on my left leg. A day without hose results in pitting edema. Also, the abnormalities have resulted in meralgia paresthetica.
The diagnosis was part a major work up after DVT and phlebitis in the left leg, which were post-op to a right thoracotomy with pleural abrasion. The chest cutting was in response to recurrent pneumothoraces.
The use of "arteriosclerotic" instead of "atherosclerotic" was probably an informed choice since the diagnosis was made by the Air Force Vascular Laboratory at Wilford Hall USAF Medical Center in San Antonio.
Now, my question: Does the "suspected arteriosclerotic" finding indicate an increased risk of future problems for other parts of my circulatory system -- specifically coronary artery disease?
Could you refer me to any research that might be pertinent to my question?
Thanks.
Doctor's Answer
by Cleveland Clinic, Feb 02, 2006 12:00AM
, Feb 02, 2006 12:00AM
raggedclaw,
Atherosclerosis is a systemic disease meaning that it generally effects all of the arteries in the body. For example, having known carotid atherosclerotic disease, increases the risk of a myocardial
infarction as coroanry atherosclerosis is generally coexistent.
Overall, the treatment of any type of atherosclerosis is the same and aimed at prevention of progression through aggressive risk factor modification and treatment of symptomatic occlusive disease.
Overall, the American Heart association website has a lot of reading material for both lay and medical professionals. The Cleveland Clinic Heart center website also has a lot of useful information. Those both would be a great places to start.
good luck
Atherosclerosis is a systemic disease meaning that it generally effects all of the arteries in the body. For example, having known carotid atherosclerotic disease, increases the risk of a myocardial
infarction as coroanry atherosclerosis is generally coexistent.
Overall, the treatment of any type of atherosclerosis is the same and aimed at prevention of progression through aggressive risk factor modification and treatment of symptomatic occlusive disease.
Overall, the American Heart association website has a lot of reading material for both lay and medical professionals. The Cleveland Clinic Heart center website also has a lot of useful information. Those both would be a great places to start.
good luck
