Peripheral Artery Disease--a case studyPresentation Transcript
Nirmala devi 50 years/ Female Chief complain- 1-Angina on exertion (NYHA grade II) for 6 months 2-Intermittent claudication (Fontaine stage II) ltlower limb for 6 months 3-Gradual blackening(gangrene) of Lt foot for 2monthsPast h/o- K/C/O DM Type 2 and essential hypertension for 10years on irregular treatment in the form of oral tablets.
Non smoker.On examination-General examination- PR-94/min,regular. BP- 150/84 mmHg
Systemic examination—Chest- B/L ClearCVS - s1 s2 normal. no murmur.
2D ECHO- No RWMA,LVEF 60% Grade I DD Concentric LVH Rest normal studyColour doppler lower limbs- Lt LL- Diffuse thrombus in proximal and mid SFA (67%stenosis) with obstructed flow in popliteal,distal ATA andDPA. Rt LL-Normal study