Peripheral Vascular Disease Essentials for Advanced Practice Providers-Video: PAD

Video Transcription
Video Summary
In this video, Christy Willocks discusses medical treatment and intervention for peripheral artery disease (PAD). She begins by explaining goal-directed medical therapy (GDMT) for PAD patients, which includes structured exercise programs, lifestyle modifications, smoking cessation, and treatment of risk factors such as diabetes, hypertension, and high cholesterol. She also mentions medications that can be prescribed for PAD patients.<br /><br />Willocks then goes on to discuss structured exercise programs, which are supervised programs that take place in a hospital or outpatient facility. These programs typically involve 30 to 45 minutes of training at least three times a week for about 12 weeks. The goal of therapy is to help patients walk further by pushing through claudication.<br /><br />She emphasizes the importance of smoking cessation for PAD patients, as smoking worsens the disease. Willocks mentions different medications that can be used to help patients quit smoking, as well as the need for support from family members and the discussion of the health benefits of quitting.<br /><br />Willocks also highlights the importance of glycemic control, cholesterol management, and blood pressure control for PAD patients. She mentions different studies that show the benefits of statins and ACE inhibitors for reducing cardiovascular risks in PAD patients.<br /><br />She briefly discusses the use of medications such as celastazol, plitoxaline, and trentol for symptomatic relief in patients with PAD. She also mentions the use of oral anticoagulants for post-vascular bypass patients.<br /><br />Willocks explains different disease patterns in PAD patients, including aorta iliac disease, isolated femoral popliteal disease, and femoral popliteal disease. She discusses different treatment options for each pattern, including surgery, stenting, and exercise therapy.<br /><br />She goes on to discuss treatment options for patients with ulcers and critical limb ischemia. She emphasizes the importance of revascularization to improve blood flow to the foot and prevent amputation. She also discusses the use of catheter-directed thrombolysis and surgical thrombectomy for acute limb ischemia.<br /><br />In conclusion, Willocks emphasizes the importance of a structured treatment approach and early intervention for PAD patients to prevent complications and improve outcomes.<br /><br />Sources:<br />Willocks, C. (n.d.). Peripheral Artery Disease (PAD) Management - Part 2. MedAxiom.
Keywords
peripheral artery disease
structured exercise programs
smoking cessation
medications
blood pressure control
revascularization
acute limb ischemia
complications