Study the pattern of clinical presentation of peripheral arterial occlusive disease

Abstract

Background and Aim: Diagnosing PAD is important in order to implement appropriate therapies for preventing cardiovascular morbidity and mortality, improving functional impairment, and preventing further functional decline. Hence the aim was to study the pattern of clinical presentation of Peripheral arterial occlusive disease. Materials & Methods: A total of random selection of 100 cases was done. a good clinical history in a chronological order was taken as soon as the patient was admitted. A thorough clinical examination was carried out personally to find out and establish clinically first, the presence of vascular obstruction.Results: Majority of the patients in my study underwent amputation of affected limb. The level of amputation was below knee in 42% and above knee in 58% cases. Lumbar sympathectomy was done in 16 cases, and among these cases disarticulation was done in 12 cases. 12% of the patients underwent disarticulation of the involved toes.Conclusion: The level of amputation was below knee in 42% and above knee in 58% cases. Even after the surgical treatment in the TAO patients, cessation of smoking was an important factor in giving relief from the pain. The patients who continued to smoke had aggravation of symptoms.