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F/72/COPD/Carotid Stent/Possible PAD Symptoms
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sabine48 posted:
I posted this below hoping to get a response from Dr. Harrington but would appreciate hearing from another with helpful advince. Thank you.

Female - 72, carotid stent 5 1/2 years ago for blockage of left carotid. Procedure redone because of scar tissue buildup. Followups each year checked out well with ultrasound and a couple of stress related tests for leg & foot pains as much as 3 years ago. She also has COPD but it is manageable without medication or inhalers. Dr. did say at last cardio checkup that he thought there might be a little blockage in one of her calves when he listened w/stethoscope but thought since tests didn't show any real blockage she was good to go until her next check up.

In the last one or two weeks the pains became more intense in right calf, tightening and aching pain causing a lot of discomfort, even at rest unless she tries to massage, that gives a little relief for a time. Left calf is also starting to give trouble, also with walking. She is normally a very active 72 year old, used to walk on treadmill daily until about a month and a half ago she got busy traveling for a time and had no access. Has also has had pain in her feet & toes, having had spasms at rest, usually in the morning early when she wakes and if she tries to stretch at all then her feet & toes give her a lot of pain, it all sounds like a muscle problem except I am truly beginning to think it might be vascular in her calf area. She is tired easy more recently, very unlike her because she is always physically on the go.

My question, her appt. was for late in June,the dr.'s office agreed to move up the date when I explained the situation, minus the fact that I just learned she has also been much more tired than normal, I didn't get a chance to tell them that, I just found out from my mom.

We are seeing her cardio dr. for stress tests and ultrasound tests on the 7th. I worry it isn't soon enough. Is there anything we should be watchful for that might worsen between now and then? Should we insist on getting in sooner? I don't know if that is possible but would like to know your thoughts.
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cardiostarusa1 responded:
Hi:

"Just learned she has also been much more tired than normal"

"Should we insist on getting in sooner? I don't know if that is possible"


It's definitely well-worth a try.

Good to know, as reported, peripheral artery disease (PAD) has a relatively low-risk of death, though it may/can cause substantial disability since the affected limbs are at an increased risk of problems, such as infection, and even amputation.

Typically, as applicable, pain occurs while walking, in those with PAD, and subsides when idle/resting/relaxing. Though in severe cases, the pain can be constant.

PAD, the "other" artery disease, often (but not 100% always) goes hand-in-hand with coronary artery disease (CAD), as it shares the same risk factors.

Additionally, certain other non-vascular/non-circulatory conditions may/can affect the legs/feet/toes as well, causing symptoms such as cramps, aches, pains, spasms, discomfort.

Best of luck down the road of life to the 72-years-young female you speak of.

Take care,

CardioStar*

WebMD member (since 8/99)



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Be well-informed

As Applicable (Must be 100% confirmed)

VascularWeb

Patient and Family Health Information

Leg artery disease w/illustrations

Peripheral Artery Disease (PAD)

What is peripheral arterial disease (PAD)?

Your arteries carry blood rich in oxygen and nutrients from your heart to the rest of your body. When the arteries in your legs become blocked, your legs do not receive enough blood or oxygen, and you may have a condition called peripheral artery disease (PAD), sometimes called leg artery disease......

http://www.vascularweb.org/_CONTRIBUTION_PAGES/Patient_Information/NorthPoint/Leg_Artery_Disease.html


Vascular Disease Foundation (VDF)


The source for information the public can trust.

http://www.vdf.org

National Heart, Lung, and Blood Institute (NHLBI) - National Institutes of Health (NIH)

How Is Peripheral Arterial Disease Diagnosed?

Peripheral arterial disease (PAD) is diagnosed based on general medical and family history, history of leg or heart problems, personal risk factors, a physical exam, and test results. An accurate diagnosis is critical, because......

Mild PAD may be managed by a primary care doctor, internist, or general practitioner. For more advanced PAD, a vascular specialist (a doctor who specializes in treating blood vessel problems) may be involved. A cardiologist (a doctor who specializes in heart diseases) also may be involved......

http://www.nhlbi.nih.gov/health/dci/Diseases/pad/pad_diagnosis.html


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Good to know, for the primary and secondary prevention of heart attack and brain attack/stroke

Epidemiologic studies (EDS) have revealed risk factors (encompasses some new, novel, emerging) for atherosclerosis (typically affecting the CAROTID, CORONARY, and PERIPHERAL arteries), which includes age, gender, genetics (gene deletion, malfunction, or mutation), diabetes (considered as being the highest risk factor), smoking (includes secondhand), inactivity, obesity (a global epidemic, "globesity"), high blood pressure (hypertension), high LDL, small, dense LDL, RLP (remnant lipoprotein), high Lp(a), high ApoB, high Lp-PLA2, high triglycerides, HDL2b, LOW HDL (less than 40 mg/dL, an HDL level of 60/65 mg/dL or more is considered protective against coronary artery disease), high homocysteine (now questionable), and high C-reactive protein (CRP/hs-CRP).


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Quote!

"Be a questioning patient. Talk to your doctor and ask questions. Studies show that patients who ask the most questions, and are most assertive, get the best results. Be vigilant and speak up!"

- Charles Inlander, People's Medical Society

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