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Vascular Medicine

  • Scott J. Cameron
  • Doran Mix
Chapter

Abstract

Peripheral vascular disease co-exists in approximately one-third of patients with coronary artery disease. Due to a deficiency in formal instruction in the discipline of vascular medicine in medical school and residency programs, many patients with peripheral artery disease (PAD), chronic venous insufficiency (CVI), lymphedema, and aortic aneurysmal disease are under-diagnosed and therefore untreated (Armstrong et al., Can J Cardiol 26:e346–350, 2010). This chapter summarizes the identification, work-up, and management of common vascular disorders which the general cardiologist may be responsible for during routine consultative and office-based care.

Keywords

Vascular Aortic aneurysm Venous insufficiency Lymphedema, carotid 

References

  1. 1.
    Armstrong DW, Tobin C, Matangi MF. The accuracy of the physical examination for the detection of lower extremity peripheral arterial disease. Can J Cardiol. 2010;26(10):e346–50.CrossRefPubMedPubMedCentralGoogle Scholar
  2. 2.
    CAPRIE Steering Committee. A randomised, blinded, trial of clopidogrel versus aspirin in patients at risk of ischaemic events (CAPRIE). CAPRIE Steering Committee. Lancet. 1996;348(9038):1329–39.CrossRefGoogle Scholar
  3. 3.
    Kullo IJ, Rooke TW. Clinical practice. Peripheral artery disease. N Engl J Med. 2016;374(9):861–71.CrossRefPubMedGoogle Scholar
  4. 4.
    Pickett CA, Jackson JL, Hemann BA, Atwood JE. Carotid bruits and cerebrovascular disease risk: a meta-analysis. Stroke. 2010;41(10):2295–302.CrossRefPubMedGoogle Scholar
  5. 5.
    Brott TG, et al. 2011 ASA/ACCF/AHA/AANN/AANS/ACR/ASNR/CNS/SAIP/SCAI/SIR/SNIS/SVM/SVS guideline on the management of patients with extracranial carotid and vertebral artery disease: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines, and the American Stroke Association, American Association of Neuroscience Nurses, American Association of Neurological Surgeons, American College of Radiology, American Society of Neuroradiology, Congress of Neurological Surgeons, Society of Atherosclerosis Imaging and Prevention, Society for Cardiovascular Angiography and Interventions, Society of Interventional Radiology, Society of NeuroInterventional Surgery, Society for Vascular Medicine, and Society for Vascular Surgery. J Am Coll Cardiol. 2011;57(8):e16–94.CrossRefPubMedGoogle Scholar
  6. 6.
    Conrad MF, et al. The natural history of asymptomatic severe carotid artery stenosis. J Vasc Surg. 2014;60(5):1218–25.CrossRefPubMedGoogle Scholar
  7. 7.
    Hiratzka LF, et al. 2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM guidelines for the diagnosis and management of patients with thoracic aortic disease: executive summary. A report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines, American Association for Thoracic Surgery, American College of Radiology, American Stroke Association, Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, Society of Interventional Radiology, Society of Thoracic Surgeons, and Society for Vascular Medicine. Catheter Cardiovasc Interv. 2010;76(2):E43–86.CrossRefPubMedGoogle Scholar
  8. 8.
    Hirsch AT, et al. ACC/AHA 2005 practice guidelines for the management of patients with peripheral arterial disease (lower extremity, renal, mesenteric, and abdominal aortic): a collaborative report from the American Association for Vascular Surgery/Society for Vascular Surgery, Society for Cardiovascular Angiography and Interventions, Society for Vascular Medicine and Biology, Society of Interventional Radiology, and the ACC/AHA Task Force on Practice Guidelines (Writing Committee to Develop Guidelines for the Management of Patients with Peripheral Arterial Disease): endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation; National Heart, Lung, and Blood Institute; Society for Vascular Nursing; TransAtlantic Inter-Society Consensus; and Vascular Disease Foundation. Circulation. 2006;113(11):e463–654.CrossRefPubMedGoogle Scholar
  9. 9.
    American College of Cardiology Foundation, et al. ACCF/ACR/AIUM/ASE/ASN/ICAVL/SCAI/SCCT/SIR/SVM/SVS 2012 appropriate use criteria for peripheral vascular ultrasound and physiological testing part I: arterial ultrasound and physiological testing: a report of the American College of Cardiology Foundation Appropriate Use Criteria Task Force, American College of Radiology, American Institute of Ultrasound in Medicine, American Society of Echocardiography, American Society of Nephrology, Intersocietal Commission for the Accreditation of Vascular Laboratories, Society for Cardiovascular Angiography and Interventions, Society of Cardiovascular Computed Tomography, Society for Interventional Radiology, Society for Vascular Medicine, and Society for Vascular Surgery. J Vasc Surg. 2012;56(1):e17–51.CrossRefGoogle Scholar
  10. 10.
    Fink HA, et al. The accuracy of physical examination to detect abdominal aortic aneurysm. Arch Intern Med. 2000;160(6):833–6.CrossRefGoogle Scholar
  11. 11.
    Morris JH, Mix D, Cameron SJ. Acute aortic syndromes: update in current medical management. Curr Treat Options Cardiovasc Med. 2017;19(4):29.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.University of Rochester Medical Center/CardiologyRochesterUSA
  2. 2.University of Rochester Medical Center/VascularRochesterUSA

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