Levels of pain, anxiety, and depression in patients with peripheral arterial disease

Leczenie Ran ◽  
2021 ◽  
Vol 18 (2) ◽  
pp. 29-34
Author(s):  
Renata Piotrkowska ◽  
Piotr Jarzynkowski ◽  
Ada Wołowik
Keyword(s):  
Peripheral Arterial Disease ◽  
Arterial Disease ◽  
Anxiety And Depression ◽  
Pain Anxiety ◽  
Peripheral Arterial

scholarly journals DISTRESS VULNERABILITY AND SOCIAL SUPPORT IN PATIENTS WITH PERIPHERAL ARTERIAL DISEASE AND PATIENTS WITH VARICOSE DISEASE

2017 ◽  
Vol 12 (4) ◽  
pp. 245-249
Author(s):  
Liliana Veronica DIACONESCU ◽  
◽  
Ion DIACONESCU ◽  
Keyword(s):  
Social Support ◽  
Peripheral Arterial Disease ◽  
Perceived Stress ◽  
Arterial Disease ◽  
Anxiety And Depression ◽  
Perceived Stress Scale ◽  
Stress Scale ◽  
Social Support Scale ◽  
Varicose Disease ◽  
Peripheral Arterial

Introduction. Both peripheral arterial disease (PAD) and varicose disease (VD), as chronic diseases, can generate high levels of emotional distress, with negative affects, which will influence treatment adherence and quality of life. The study’s aim was to analyze the relationship between anxiety, depression, perceived stress and social support in patients with PAD and with VD. Method. The study included a number of 54 patients (38 men and 16 women) diagnosed with PAD (39 patients) and with VD (15 patients).There were applied (before surgery) psychological tests: Hospital Anxiety and Depression Scale (HADS), Perceived Stress Scale (PSS), The Duke-UNC Functional Social Support Questionnaire (FSSQ). Results. Women had higher levels of anxiety and depression than men (ns), higher scores on perceived stress scale (32,94 vs 29, t=-2,26; p<0,028), but lower scores on social support scale (25,50 vs 30,42, t=2,13; p<0,038). Patients with PAD had higher scores at anxiety (10,31 vs 8,33, t=2,58; p<0,012), depression (7,36 vs 5,40, t=2,05; p<0,045) and perceived stress (31 vs 28, ns) and lower scores at social support scale (27,62 vs 32,47, t=-2,05; p<0,045) than patients with VD. Both anxiety and depression positively correlated with perceived stress (0,639 respective 0,410; p=0,01) and negatively with social support (-0,574, respective -0,522; p=0,01). Age negative correlated with social support (-0,464; p=0,01). Conclusions. The indication for surgical treatment of vascular disease is a distress factor, leading to anxiety and depression. The increased anxiety at patients with PAD compared with those with VD can be explained by greater severity of this group of diseases, higher surgical risks, more frequent complications and a high risk of amputation. Low social support mainly observed in some elderly patients indicate, on the one hand the restriction of support network at this age and, on the other hand, its usefulness especially in the case of diseases that require surgery and postoperative recovery.

Management of Peripheral Arterial Disease

2006 ◽  
Vol 39 (3) ◽  
pp. 44
Author(s):  
WILLIAM E. GOLDEN ◽  
ROBERT H. HOPKINS
Keyword(s):  
Peripheral Arterial Disease ◽  
Arterial Disease ◽  
Peripheral Arterial

Surgical and endovascular hybrid approach in peripheral arterial disease of the lower limbs

VASA ◽  
2016 ◽  
Vol 45 (5) ◽  
pp. 417-422 ◽  
Author(s):  
Anouk Grandjean ◽  
Katia Iglesias ◽  
Céline Dubuis ◽  
Sébastien Déglise ◽  
Jean-Marc Corpataux ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Peripheral Arterial Disease ◽  
Limb Salvage ◽  
Hybrid Approach ◽  
Arterial Disease ◽  
Early Mortality ◽  
Secondary Patency ◽  
Limb Salvage Rate ◽  
Peripheral Arterial ◽  
Salvage Rate

Abstract. Background: Multilevel peripheral arterial disease is frequently observed in patients with intermittent claudication or critical limb ischemia. This report evaluates the efficacy of one-stage hybrid revascularization in patients with multilevel arterial peripheral disease. Patients and methods: A retrospective analysis of a prospective database included all consecutive patients treated by a hybrid approach for a multilevel arterial peripheral disease. The primary outcome was the patency rate at 6 months and 1 year. Secondary outcomes were early and midterm complication rate, limb salvage and mortality rate. Statistical analysis, including a Kaplan-Meier estimate and univariate and multivariate Cox regression analyses were carried out with the primary, primary assisted and secondary patency, comparing the impact of various risk factors in pre- and post-operative treatments. Results: 64 patients were included in the study, with a mean follow-up time of 428 days (range: 4 − 1140). The technical success rate was 100 %. The primary, primary assisted and secondary patency rates at 1 year were 39 %, 66 % and 81 %, respectively. The limb-salvage rate was 94 %. The early mortality rate was 3.1 %. Early and midterm complication rates were 15.4 % and 6.4 %, respectively. The early mortality rate was 3.1 %. Conclusions: The hybrid approach is a major alternative in the treatment of peripheral arterial disease in multilevel disease and comorbid patients, with low complication and mortality rates and a high limb-salvage rate.

Markers of arterial stiffness in peripheral arterial disease

VASA ◽  
2015 ◽  
Vol 44 (5) ◽  
pp. 341-348 ◽  
Author(s):  
Marc Husmann ◽  
Vincenzo Jacomella ◽  
Christoph Thalhammer ◽  
Beatrice R. Amann-Vesti
Keyword(s):  
Arterial Stiffness ◽  
Peripheral Arterial Disease ◽  
Pulse Wave ◽  
Augmentation Index ◽  
Arterial Disease ◽  
Care Physician ◽  
Additional Information ◽  
Non Invasive ◽  
Assessment Techniques ◽  
Peripheral Arterial

Abstract. Increased arterial stiffness results from reduced elasticity of the arterial wall and is an independent predictor for cardiovascular risk. The gold standard for assessment of arterial stiffness is the carotid-femoral pulse wave velocity. Other parameters such as central aortic pulse pressure and aortic augmentation index are indirect, surrogate markers of arterial stiffness, but provide additional information on the characteristics of wave reflection. Peripheral arterial disease (PAD) is characterised by its association with systolic hypertension, increased arterial stiffness, disturbed wave reflexion and prognosis depending on ankle-brachial pressure index. This review summarises the physiology of pulse wave propagation and reflection and its changes due to aging and atherosclerosis. We discuss different non-invasive assessment techniques and highlight the importance of the understanding of arterial pulse wave analysis for each vascular specialist and primary care physician alike in the context of PAD.

Secondary medical prevention in patients with peripheral arterial disease - Prescriptions of vascular surgeons and medical doctors (angiologists) in a multidisciplinary vascular centre

VASA ◽  
2010 ◽  
Vol 39 (2) ◽  
pp. 145-152 ◽  
Author(s):  
Klein-Weigel ◽  
Gutsche-Petrak ◽  
Wolbergs ◽  
Köning ◽  
Flessenkamper
Keyword(s):  
Peripheral Arterial Disease ◽  
Oral Anticoagulants ◽  
Arterial Disease ◽  
Disease Stage ◽  
Channel Blockers ◽  
Medical Doctors ◽  
Vascular Surgeon ◽  
Medical Prevention ◽  
Number Of Patients ◽  
Peripheral Arterial

Background: We compared medical secondary prevention in patients with peripheral arterial disease stage II (Fontaine) located in the femoro-popliteal artery managed by vascular surgeons and medical doctors / angiologists in our multidisciplinary vascular center. Patients and methods: We retrospectively analyzed demission protocols of in-hospital treatments between 01.01.2007 and 20.06.2008. Results: We surveyed 264 patients (54.2 % women; mean age 67.52 ± 8.98 yrs), 179 (67.8 %) primarily treated by medical doctors / angiologists and 85 (32.2 %) primarily managed by vascular surgeons. Medical doctors / angiologists treated more women (n = 109) than men (n = 34), (p = 0.002) and documented smoking and diabetes mellitus more often (p < 0.001) than vascular surgeons. Besides, patients had similar cardiovascular risk profiles and concomitant diseases, vascular surgeons prescribed 5.47 ± 2.26 drugs, medical doctors / angiologists 6.37 ± 2.67 (p = 0.005). Overall, 239 (90.5 %) patients were on aspirin, 180 (68.2 %) on clopidogrel, and 18 (6.9 %) on oral anticoagulants. Significantly more patients treated by medical doctors / angiologists received clopidogrel (169 versus 11; p < 0.001), significantly more surgical patients received oral anticoagulants (11 versus 7; p = 0.016). The number of patients without prescriptions for any antithrombotic therapy was 6 (6.9 %) in patients treated by vascular surgeons and 0 (0 %) in patients managed by medical doctors / angiologists (p = 0.001). Prescription-rates of β-blockers, ACE-inhibitors, Angiotensin II-antangonists, calcium channel blockers, and diuretics were statistically not different between the two disciplines, but statins were prescribed significantly more often by medical doctors / angiologists (139 versus 49; p < 0001). With the exceptions of Clopidogrel (women > men) and diuretics (men > women) we observed no gender-specific prescriptions. Conclusions: We observed high prescriptions rates of secondary medical prevention in patients primarily treated by medical doctors / angiologists and vascular surgeons. We believe that this result is highly influenced by our multidisciplinary approach. Nevertheless, efforts have to be made to raise vascular surgeon’s awareness of statin use and complete prescription of antithrombotic and antiplatelet drugs.

Sign in / Sign up

Export Citation Format

Share Document