Gardner Treadmill Protocol
Gardner Treadmill Protocol, also known as Gardner-Skinner Protocol was described in 1991 [1]. It is used mainly in the evaluation of peripheral arterial disease. The seminal article evaluated the effect of handrail support on claudication distance. Handrail support reduces energy cost of treadmill walking, and can affect claudication distance and hemodynamic responses in persons with peripheral vascular disease. Reliability of tests may also be reduced unless same pressure is applied to the handrails over repeated tests.
Gardner treadmill protocol is a symptom limited one with progressive graded workload having constant s...
Source: Cardiophile MD - October 6, 2023 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs
Outpatient Vascular Care: Good, bad or ugly?
BY ANISH KOKA
Filling in the holes of recent stories in the New York Times, and Propublica on the outpatient care of patients with peripheral arterial disease
Most have gotten used to egregiously bad coverage of current events that fills the pages of today’s New York Times, but even by their now very low standards a recent telling of a story about peripheral artery disease was very bad.
The scintillating allegation by Katie Thomas, Jessica Silver-Greenberg and Robert Gebeloff is that “medical device makers are bankrolling doctors to perform artery clearing procedures that can lead to amputationsâ€...
Source: The Health Care Blog - July 24, 2023 Category: Consumer Health News Authors: Ryan Bose-Roy Tags: Medical Practice Anish Koka Medical Devices Outpatient vascular care Source Type: blogs
Fontaine classification for peripheral arterial disease
In Fontaine classification [1,2], Stage I is asymptomatic with incomplete vascular obstruction. Stage II is with mild claudication which is divided into A with claudication distance more than 200 m and B with claudication distance less than 200 m. Stage III is with rest pain and stage IV with necrosis or gangrene in the limb.
Rutherford classification classified peripheral arterial disease into acute and chronic limb ischemia [3]. Each is further subdivided into grades and categories based on symptoms, clinical findings, Doppler, ankle brachial index (ABI) and pulse volume recordings.
References
Fontaine R, Kim M, Kieny ...
Source: Cardiophile MD - November 17, 2022 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs
What are the signs of blood clots in the leg? Cardiology Basics
Signs of blood clots in the leg depend on whether the clot is in the artery or the vein. When the artery is blocked, it produces pain, pallor, coldness of the leg, loss of sensation and paralysis. If the occlusion of the artery persists for a long period, the limb will become black with death of cells, called as gangrene.
This occurs when the block occurs abruptly. In a gradually progressing obstruction, one first notes pain in the legs on walking (claudication). This pain subsides with rest and recurs on walking. Distance at which pain starts is an important indication of the severity of obstruction. More severe obstruct...
Source: Cardiophile MD - October 4, 2022 Category: Cardiology Authors: Johnson Francis Tags: Cardiology Basics Source Type: blogs
Leg pain when you walk? Don ’t ignore it
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 their legs. Pain o...
Source: Harvard Health Blog - September 6, 2019 Category: Consumer Health News Authors: Kelly Bilodeau Tags: Exercise and Fitness Healthy Aging Heart Health Hypertension and Stroke Pain Management Source Type: blogs
Bilateral ICA block: MRI
Case Report 76 yrs old female pt. presets for MR brain angio with c/o giddiness of long duration.MRA shows– marked narrowing& grossly reduced flow signal of both ICA in carotid canal with complete absence of cavernous ICA with source images suggesting right PCOM feeding ipsilateral MCA& left MCA possibly filling from right side. Both MCA are grossly reduced in caliber with origins not identified along with poorly visualized both ACA& ACOM.Dominant grossly tortuous& atheromatous vertebral system with basilar artery suggesting tortuosity/atheromatous looping / redundancy with both PCA normal ...
Source: Sumer's Radiology Site - February 23, 2019 Category: Radiology Authors: Sumer Sethi Source Type: blogs
Funtabulously Frivolous Friday Five 266
It's Friday. Boggle your brain with FFFF challenge and some old fashioned trivia. Funtabulously Frivolous Friday Five 266
The post Funtabulously Frivolous Friday Five 266 appeared first on Life in the Fast Lane. (Source: Life in the Fast Lane)
Source: Life in the Fast Lane - January 11, 2019 Category: Emergency Medicine Authors: Dr Neil Long Tags: FFFF ACS alcohol withdrawal anticholinergic delirium Brick dust urine Charles Bonnet syndrome claudication Coprolalia coronary artery constriction Gilles de la Tourette Gulliver's travels Jonathan Swift Lilliputian hallucinations Source Type: blogs
Fontaine classification for peripheral arterial disease – Cardiology MCQ – Answer
Claudication distance of less than 200 m will be stage — in Fontaine classification for peripheral arterial disease:
Correct answer b) Stage IIB
In Fontaine classification [1,2], Stage I is asymptomatic with incomplete vascular obstruction. Stage II is with mild claudication which is divided into A with claudication distance more than 200 m and B with claudication distance less than 200 m. Stage III is with rest pain and stage IV with necrosis or gangrene in the limb.
Rutherford classification classified peripheral arterial disease into acute and chronic limb ischemia [3]. Each is further subdivided into grades and c...
Source: Cardiophile MD - May 28, 2018 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs
Fontaine classification for peripheral arterial disease – Cardiology MCQ
Claudication distance of less than 200 m will be stage — in Fontaine classification for peripheral arterial disease:
a) Stage IIA
b) Stage IIB
c) Stage III
d) Stage IV
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Post your answer as a comment below. Correct answer will be posted on: May 28, 2018 @ 08:22
The post Fontaine classification for peripheral arterial disease – Cardiology MCQ appeared first on Cardiophile MD. (Source: Cardiophile MD)
Source: Cardiophile MD - May 26, 2018 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs
Cardiology MCQ Test 6
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Source: Cardiophile MD - October 27, 2017 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs
Cardiology MCQ Test 2
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Source: Cardiophile MD - October 19, 2017 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs
First U.S. Physicians to Save Lives & Limbs with New DABRA Laser Technology: Interview with CEO of Ra Medical Systems
More than 200 million people worldwide, including approximately 8.5 million Americans, suffer from Peripheral Artery Disease (PAD). In the U.S. and Europe, PAD is responsible for around 240,000 amputations every year. Nearly a quarter of patients die within 30 days and almost half within a year of their limb amputation. With the number of diabetic patients increasing annually, a group at high risk for arterial blockages, safer, faster, more effective, and less expensive treatment options have never been as important. DABRA is an innovative new technology from Ra Medical Systems that can combat the growing number of diab...
Source: Medgadget - September 25, 2017 Category: Medical Devices Authors: Alice Ferng Tags: Exclusive Vascular Surgery Source Type: blogs
5 Practical Tips to Improve Poor Circulation
If you have Poor Circulation, like someone who has cold hands and feet, and maybe even experience symptoms like in Reynaud’s disease, such as hands that can’t even hold a cold drink cup, or hands that turn red when the temperature is barely cool outside, then you might want to pay attention to thess practical tips on how to improve circulation.
1. Get Your Vitamin D Level Up to Optimal Levels
Almost every organ in the body has receptors for Vitamin D, and so Vitamin D is a nutrient that is vital for a vast array of health issues, including the proper functioning of the circulatory and muscular system. Vitamin D...
Source: Immune Health Blog - March 18, 2017 Category: Nutrition Authors: Kerri Knox, RN Tags: Heart Health and Cholesterol Vitamin D improve poor circulation improve Reynaud's intermittant claudication reynaud's disease Source Type: blogs
5 Practical Tips to Improve Poor Circulation
If you have Poor Circulation, like someone who has cold hands and feet, and maybe even experience symptoms like in Reynaud’s disease, such as hands that can’t even hold a cold drink cup, or hands that turn red when the temperature is barely cool outside, then you might want to pay attention to thess practical tips on how to improve circulation.
1. Get Your Vitamin D Level Up to Optimal Levels
Almost every organ in the body has receptors for Vitamin D, and so Vitamin D is a nutrient that is vital for a vast array of health issues, including the proper functioning of the circulatory and muscular system. Vitamin D...
Source: Immune Health Blog - March 18, 2017 Category: Nutrition Authors: Kerri Knox, RN Tags: Heart Health and Cholesterol Vitamin D improve poor circulation improve Reynaud's intermittant claudication reynaud's disease Source Type: blogs
