SVS Guidelines Bundle

Peripheral Arterial Disease

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5 Effect of exercise Effect of rest Effect of position Other characteristic Reproducible onset Quickly relieved None May have atypical limb symptoms on exercise Reproducible onset Quickly relieved None Impotence. May have normal pedal pulses with isolated iliac artery disease Reproducible onset Quickly relieved None Also may present as numbness Aer much exercise (jogging ) Subsides very slowly Relief with elevation Typically heavily muscled athletes Aer walking Subsides slowly Relief speeded by elevation History of iliofemoral deep vein thrombosis, signs of venous congestion, edema Induced by sitting, standing, or walking Oen present at rest Improved by change in position History of back problems. Worse with sitting. Relief when supine or sitting. Not inter- mittent With exercise Present at rest None Not intermittent Aer variable degree of exercise Not quickly relieved Improved when not weight bearing Symptoms variable. History of degenerative arthritis May mimic IC Variable relief but can take a long time to recover Relief by lumbar spine flexion Worse with standing and extending spine Aer variable degree of exercise Not quickly relieved May be relieved by not bearing weight Variable, may relate to activity level and present at rest

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