Visual Manifestations in Giant Cell Arteritis: Trend over 5 Decades in a Population-based Cohort.
CONCLUSION: Incidence of visual symptoms has declined over the past 5 decades, and chances of recovery from visual symptoms have improved. However, complete loss of vision is essentially irreversible. Jaw claudication is associated with higher likelihood of development of visual symptoms. PMID: 25512481 [PubMed - as supplied by publisher]
Conclusions: The adoption of ME in 2014 was associated with significant increase in the use of infrainguinal bypass for nonsevere and elective cases, along with improved in-hospital mortality and MALE at 1 year. Longer follow-up is needed to evaluate the impact of ME on other aspects of care and longer term outcomes of PAD patients.
Walking is often touted as a perfect exercise to improve multiple aspects of health. But what if walking causes leg pain? Many people shrug off leg pain when they walk as a normal part of aging. In some cases, though, it’s the sign of peripheral artery disease (PAD), which can put heart and brain health at risk. While PAD doesn’t usually run in families, it’s more likely to occur as people age, or among people who smoke or have high blood pressure, high cholesterol, or diabetes. What causes leg pain if you have PAD? People with PAD have fatty deposits in arteries outside the heart — most often in th...
This study aimed to evaluate the effectiveness of a supervised exercise program in improving gait parameters, including the variability and walking performance of lower limb movements, in patients with peripheral artery disease (PAD) and intermittent claudication (IC).
The natural history of intermittent claudication (IC) is that only 25% of patients will experience worsening of their claudication symptoms and only ∼1-3% will progress to major amputation. The impact of increasing use of endovascular therapies on the natural history of IC has not been well established. The purpose of this study is to evaluate the incidence and identify predictors of major and minor amputation following peripheral vascular int ervention (PVI) for IC.
DR MARTIN SCURR: Barbara Connor, from South-East London, has a condition called claudication, which causes her problems in her legs.
nhainen A Abstract Background: The aims of this study were to determine the prevalence of screening-detected subaneurysmal aorta (SAA), i.e. an aortic diameter of 2.5-2.9 cm, its associated risk factors, and natural history among 65-year-old men. Methods: A total of 14,620 men had their abdominal aortas screened with ultrasound and completed a health questionnaire containing information on smoking habits and medical history. They were categorized based on the aortic diameter: normal aorta (
Adult symptomatic lumbar Scoliosis (ASLS) has become increasingly prevalent as the population ages. ASLS can be accompanied by neurogenic claudication, leading to difficulty walking. Functional treadmill testing (FTT) has been previously described as an objective tool to evaluate patients suffering from neurogenic claudication. FTT may provide an objective tool to evaluate patients with ASLS and identify patients who may benefit from surgical treatment.
Degenerative lumbar spondylolisthesis (DLS) is a common disease and often results in back pain and neurogenic claudication, which frequently requires surgical intervention. However, segmental instability is a key factor in determining the treatment algorithm.
Tandem spinal stenosis (TSS) is a rare presentation leading to combined clinical features of upper motor neuron and lower motor neuron lesion which includes intermittent neurogenic claudication with or without neurological deficit, progressive gait imbalance and gait disturbances. Such presentation was usually treated with staged surgery in past and few studies have reported single stage surgical intervention.
Interventional approaches to management of claudication vary widely. Per the Society for Vascular Surgery guidelines, any invasive treatment of claudication must offer long-term benefit at low risk of complications. Our aim was to elucidate contemporary claudication intervention patterns and functional outcomes.