People with peripheral vascular disease have increased risk of MI, stroke and mortality. So, although a patient may present with an acute problem such as lower limb pain, leg ulcers or gangrene, the GP must also address the patient’s overall cardiovascular risk.
History
Typically:
1 Intermittent claudication: leg or buttock pain on walking, disappears when still, often worse in one leg
2 Ischaemic rest pain: severe, constant pain in foot, usually worse at night, sometimes relieved by hanging leg over side of bed.
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