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Peripheral Arterial Disease (PAD)
Peripheral arterial disease (PAD) is a very common condition affecting millions of people worldwide.It is estimated that there are currently more than 800,000 people with PAD in Canada, but general awareness of the disease is very low1. With this lack of awareness, there are many people who go undiagnosed or untreated and suffer with PAD.
PAD, which can also be referred to as peripheral vascular disease (PVD), is the narrowing or blockage of arteries in various critical regions of the body.
PAD happens when there is a buildup of fatty material, called plaque, inside your arteries. Another name for this condition is atherosclerosis, or hardening of the arteries.
The plaque deposits (also called calcifications) can cause your arteries to stiffen (calcify) and become narrowed or blocked, limiting the supply of oxygen-rich blood throughout your body. This can cause different health problems, depending on which arteries are blocked.
Lower extremity PAD affects the arteries that supply blood to the muscles in the legs. Three of the arteries most commonly blocked are the iliac artery, the superficial femoral artery (known as SFA), and the infrapopliteal arteries that are below the knee.
When the main arteries in the legs become blocked by plaque, smaller arteries, called collateral pathways, take over as the main route to supply blood to the leg muscles. These smaller arteries can supply the muscles with enough blood when a person is at rest, but they can’t do a good enough job when a person is physically active and the leg muscles need more blood and oxygen.
People with lower extremity PAD often have pain or discomfort when walking or going about their daily tasks. Doing physical activities is often hard because of the decreased blood supply to the legs, usually causing symptoms to get worse over time unless they get treatment.
These symptoms may include:
Millions of people worldwide have or are at risk for PAD. Many who suffer from the disease are never diagnosed or treated.
While some hardening of the arteries and plaque buildup in the arteries is normal as you grow older, certain risk factors, including behaviors, conditions or habits, can lead to developing PAD sooner. The more risk factors you have, the higher your chances of developing PAD.
Some of the risk factors for PAD are:
Although you can't control risk factors like your age and family history, you can control or manage some risk factors to lower your risk. These include smoking, diabetes, high blood pressure, high cholesterol, obesity, and leading an inactive lifestyle. Your doctor can advise you in making healthier choices about your diet, tobacco use, and activity level and stress management.
If you are at risk of developing PAD, it is important to talk with your doctor about ways to lower your risk factors. In addition to having atherosclerosis (hardening of the arteries), people with PAD are also at high risk for suffering a heart attack or stroke.
When making a diagnosis, your doctor will review your medical and family history, risk factors and symptoms. If your doctor suspects you have PAD, he or she may give you a series of tests and examinations before deciding on a treatment plan. These tests are designed to measure how well your blood is flowing through your arteries and identify areas of concern.
Tests or examinations you may be given include:
Information on this site should not be used as a substitute for talking with your doctor. Always talk with your doctor about diagnosis and treatment information.
Lovell, M., Harris, K., Forbes, T., Twillman, G., Abramson, B., Criqui, M. H., … Hirsch, A. T. (2009). Peripheral arterial disease: Lack of awareness in Canada. The Canadian Journal of Cardiology, 25(1), 39–45.