January 2011/Ed. 1
When Linda Molnar developed pain in her legs that got worse when she walked even a short distance, doctors initially attributed it to an old back injury. But
three years and many doctor visits later, a vascular specialist finally gave her the
correct diagnosis last fall: peripheral artery disease.
you feel productive, wheth-er or not you get paid for
Often referred to as poor circulation, peripheral artery disease, or PAD, is a po-
tentially fatal blockage of large arteries in the legs caused by the same kind of
fatty deposits or plaque that can build up in the coronary arteries leading to the
heart. Between eight and 12 million Americans have PAD, federal data show. By
some estimates, those ranks could double in the next decade as the population
ages and as diabetes and obesity—major risk factors—become more prevalent.
PAD has serious consequences. Patients have rates of heart attack, stroke and death equal or greater to those with coronary disease alone. A study of 68,000
patients in an international registry shows patients with PAD have a 21% chance of suffering a heart attack or stroke, being hospitalized or dying of complica-
tions within one year. That risk doubles for those who also have artery disease in
the heart. PAD and coronary heart disease often go hand-in-hand: As many as
funny movie, take a walk on the beach, listen to music,
Several groups are lobbying the federal government to make a screening test
for PAD more widely available. The test, known as the ankle-brachial-index, or
ABI, can identify peripheral artery disease by measuring blood pressure in the
legs. It is relatively inexpensive, ranging from about $60 to $117. Medicare will
cover it only for patients who already show symptoms of PAD. The Peripheral
Artery Disease Coalition of more than 50 organizations endorses ABI screening,
and is lobbying the federal Preventive Services Task Force to review the test with the aim of getting it covered more widely by Medicare.
Private insurance policies vary, and some doctors may perform the test as part
of a physical examination. About 10% of PAD patients have a severe form of leg pain, known as claudication. Caused by inadequate blood flow, it typically oc-
curs while walking or climbing stairs and stops at rest. Half of patients may have
other leg symptoms such as heaviness, fatigue and cramps.
ice skating. Play a game of tag. Ride your bike. Take
“If people come in and say my chest hurts, that gets attention, but if they say
my leg hurts when I walk a couple of blocks, most doctors don’t think that is a
big deal,” says William Hiatt, professor of cardiovascular research at the Uni-
versity of Colorado School of Medicine and chairman of the American Heart
Association’s Peripheral Vascular Disease Council.
It burns calories, reduces stress and makes you feel
The first line of treatment for PAD is daily exercise and a healthy diet. Medica-
tions are also often used, including a statin to lower cholesterol, blood thinners, blood-pressure medications and a drug called Pletal that helps expand arteries and relieve leg pain.
Who says video games are bad for you? The Nintendo
What you need to know about Hormone Replacement
Wii gaming system is a high-tech option with new
Dr. Addison Livingston is conducting a Seminar on Bioidentical Hormone
your family off the couch and working up a sweat.
Dr. Livingston has in-depth knowledge of Hormone Replacement and is
considered one of the leading authorities in the Midlands. Addison Livingston
will be sharing his knowledge and recommendations at the seminar. It’s free,
so it is sure to fill up quickly. Call today to register 791-2113.
including the popular Wii Sport game. One in 100
Lexington Medical Center’s Health Directions Building
Work in Progress Published monthly by Michele Crawford Work in Progress is an electronic newsletter intended to assist individuals seeking optimum well-being. Mail to ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Work in Progress May 2006 Volume I Issue III Feature Article: Part One: Questioning the Treatment of Anxiety ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Please feel free to forward
CODEP 84 - Comité Directeur du 17 Septembre 2013 Espace Acampado – Piolenc Présents : BERTRAND Philippe Excusés : GIRAUD Karine Le Président Marc LE MEZO ouvre la séance à 19h20 selon l’ordre du jour : 1/ PRESIDENT - Marc LE MEZO - 25 Juil et : Journée Mer avec les jeunes du centre de loisir de PIOLENC. Remerciements à Messieurs Patrick CHABERT, Jean-Cha