Peripheral artery disease (PAD) [परिधीय धमनी रोग] is an abnormal narrowing of arteries other than those that supply the heart or brain. When narrowing occurs in the heart, it is called Coronary Artery Disease, and in the brain, it is called Cerebrovascular Disease. Peripheral artery disease most commonly affects the legs, but other arteries may also be involved. The classic symptom is leg pain when walking which resolves with rest, known as intermittent claudication. Other symptoms include skin ulcers, bluish skin, cold skin, or abnormal nail and hair growth in the affected leg. Complications may include an infection or tissue death which may require amputation; coronary artery disease, or stroke. Up to 50% of people with PAD do not have symptoms. Having more complications of Peripheral artery disease, Siddha Spirituality of Swami Hardas Life System appeal our readers to read this article, know, and learn free Siddha energy remedies for wellbeing.
Peripheral artery disease Symptoms (परिधीय धमनी रोग के लक्षण)
About 66% of patients affected by peripheral artery disease either do not have symptoms or have atypical symptoms.
The most common presenting symptom is intermittent claudication, which causes pain and severe cramping when walking or exercising. The pain is usually located in the calf muscles of the affected leg and relieved by rest.
In individuals with severe peripheral artery disease, complications may arise, including critical limb ischemia and gangrene. This can lead to in:
- Pain at rest
- Feeling of cold
- Numbness in the affected foot and toes
Other complications of severe peripheral artery disease include:
- Lower limb tissue loss
- Arterial insufficiency ulcers
- Erectile dysfunction
People with diabetes are affected by gangrene of the feet at a rate that is 30 times higher than the unaffected population. Many of these severe complications are irreversible.
Peripheral artery disease Causes (परिधीय धमनी रोग के कारण)
Risk factors (जोखिम)
Factors contributing to increased risk of PAD are the same as those for atherosclerosis. These include age, sex, and ethnicity. Peripheral artery disease is two times as common in males as females:
- Smoking – Tobacco use in any form is the single greatest risk factor of peripheral artery disease internationally
- High blood sugar – Diabetes mellitus is shown to increase the risk of peripheral artery disease by 2-4 fold. It does this by causing endothelial and smooth muscle cell dysfunction in peripheral arteries.
- High blood cholesterol – Dyslipidemia, which is an abnormally high level of cholesterol or fat in the blood. Dyslipidemia is caused by a high level of a protein called LDL c
- High blood pressure – Hypertension or elevated blood pressure can increase a person’s risk of developing PAD. Similarly to Peripheral artery disease, there is a known association between high blood pressure and heart attacks, strokes and abdominal aortic aneurysms.
- Other risk factors which are being studied include levels of various inflammatory mediators such as C-reactive protein, fibrinogen, homocysteine, and lipoprotein A.
High-risk populations (उच्च जोखिम वाली आबादी)
Peripheral arterial disease is more common in these populations:
- All people who have leg symptoms with exertion or ischemic rest pain
- All aged 65 years and over regardless of risk factor status
- People between 50 and 69 and who have a cardiovascular risk factor, particularly diabetes or smoking
- Age less than 50 years, with diabetes and one other atherosclerosis risk factor
- Individuals with an abnormal lower extremity pulse examination
- Those with known atherosclerotic coronary, carotid, or renal artery disease
- All people with a Framingham risk score of 10%-20%
- All people who have previously experienced chest pain
Peripheral artery disease Diagnosis (परिधीय धमनी रोग का निदान)
Diagnosing or identifying peripheral artery disease requires a history of symptoms and a physical exam followed by confirmatory testing. However, in order to confirm a diagnosis confirmatory testing is required.
These findings are associated with peripheral artery disease:
- Decreased or absent pulses
- Muscle atrophy or wasting
- Noticeable blueness of the affected limb
- Decreased temperature (coolness) in an affected limb when compared to the other
- Thickened nails
- Smooth or shiny skin and hair loss
- Buerger’s test can check for pallor when the affected limb is in an elevated position
If peripheral artery disease is suspected, the initial study is the ankle-brachial index (ABI). The ABI is a simple, non-invasive test, which measures the ratio of systolic blood pressure in the ankle to the systolic blood pressure in the upper arm.
In individuals with suspected PAD with normal ABIs can undergo exercise testing of ABI. A decrease in ABI of 15%-20% would be diagnostic of Peripheral artery disease.
Other imaging can be performed by angiography, where a catheter is inserted into the common femoral artery and selectively guided to the artery in question.
Magnetic resonance angiography (MRA) is a noninvasive diagnostic procedure that uses a combination of a large magnet, radio frequencies, and a computer to produce detailed images of blood vessels inside the body.
Peripheral artery disease Screening (परिधीय धमनी रोग की जांच)
It is not clear if screening for disease in the general population is useful as it has not been properly studied. This includes screening with the ankle-brachial index.
Peripheral artery disease Treatment (परिधीय धमनी रोग का उपचार)
Depending on the severity of the disease, these steps can be taken, according to the guidelines:
Lifestyle (जीवन शैली)
- Stopping smoking
- Regular exercise for those with claudication helps open up alternative small vessels and the limitation in walking often improves. Treadmill exercise (35 to 50 minutes, three or four times per week) has been reviewed as another treatment with a number of positive outcomes, including a reduction in cardiovascular events and improved quality of life.
- Diabetes management
- Controlling hypertension
- Management of high cholesterol, and antiplatelet drugs such as aspirin and clopidogrel
Cilostazol can improve symptoms in some. Cilostazol may improve walking distance for people who experience claudication due to peripheral artery disease.
Treatment with other drugs or vitamins are unsupported by clinical evidence, “but trials evaluating the effect of folate and vitamin B12 on hyperhomocysteinemia, a putative vascular risk factor, are near completion”.
Gabapentin (Neurontin) is an anticonvulsant used to treat seizures and nerve pain.
The benefit of revascularization is thought to correspond to the severity of ischemia and the presence of other risk factors for limb loss such as wound and infection severity:
- Angioplasty can be done on solitary lesions in large arteries
- Atherectomy, in which the plaque is scraped off of the inside of the vessel wall
- To circumvent a diseased area, vascular bypass grafting can be performed
Peripheral artery disease best exercise (परिधीय धमनी रोग के लिए सबसे अच्छी कसरत)
Dr. Mohler says working with a physical therapist to start a walking program is a good move. And if insurance doesn’t cover physical therapy, there are some alternatives:
- Warm-up. Stretch your calf and thigh muscles in each leg for 10 to 15 seconds.
- Start walking. Walk at a fast enough pace for about 5 minutes, even though it may cause some mild pain.
- Stop and rest. After 5 minutes of mild or moderate pain, stop and rest until the pain goes away.
- Repeat the walk-and-stop routine several times. During the first two months of your walking program, build up slowly to walking a total of 35 minutes each session, not counting the rest breaks. Keep adding a few minutes until you’re at the goal of walking 50 minutes.
- Cooldown. Finish by walking slowly for 5 minutes. Then, stretch your calf and thigh muscles again.
- Stick with it. Aim to eventually do 50 minutes of walking, at least 3 to 5 times a week. As that becomes easier, challenge yourself to work harder. You could try walking up hills or stairs or add an incline to your treadmill routine.
Keep in mind that Peripheral artery disease took years to develop in your legs, and it will take a few months to improve your walking. Dr. Mohler says, “It’s important to be patient with yourself.”
If you think you or a loved one has peripheral artery disease, talk to a Penn Medicine vascular expert about starting a walking program.
Peripheral artery disease Epidemiology (परिधीय धमनी रोग महामारी का विज्ञान)
The prevalence of PAD in the general population is 12–14%, affecting up to 20% of those over 70; 70%–80% of affected individuals are asymptomatic; only a minority ever require revascularization or amputation.
Peripheral artery disease affects one in three diabetics over the age of 50. In the USA, it affects 12–20 percent of Americans age 65 and older. Around 10 million Americans have PAD. Despite its prevalence and cardiovascular risk implications, only 25% of PAD patients are undergoing treatment.
The Diabetes Control and Complications Trial, and the U.K. Prospective Diabetes Study trials, in people with type 1 and type 2 diabetes, respectively, demonstrated that glycemic control is more strongly associated with microvascular disease than the macrovascular disease.
Peripheral artery disease Research (परिधीय धमनी रोग का अनुसंधान)
In those who have developed critically poor blood flow to the legs, the benefit of autotransplantation of autologous mononuclear cells is unclear.
Peripheral artery disease & Free Siddha Energy Remedies (परिधीय धमनी रोग और नि:शुल्क सिद्ध ऊर्जा उपचार)
1. Siddha preventive measures for Peripheral artery disease (परिधीय धमनी रोग के लिए सिद्ध निवारक उपाय)
Everybody must practice Siddha preventive measures, whether a person is affected with a peripheral artery disease or not, but preventive measures are the primary steps for switching on to any other Siddha energy remedies, and hence they are important. It helps in one’s capability, effectiveness, and productivity, decision making power, intellectuality and removing minor health problems. There are three types of preventive measures:
- Earthing – performed for earthing the negativity of our body
- Field Cleaning – cleans energy field (Aura) of our body
- Siddha Brain Exercise/Energizing – energizes our brain for proper functionality
Everybody’s tendency is to get attracted toward the word ‘free‘, however, don’t neglect even these Siddha preventive measures are free. Avail the benefits by practicing them sincerely, and regularly. For the ease of understanding Siddha preventive measures, please watch a video for a live demonstration.
2. Siddha Shaktidata Yog for Peripheral artery disease (परिधीय धमनी रोग के लिए सिद्ध शक्तीदाता योग)
This unique Siddha Shaktidata Yog of Siddha Spirituality can solve the problems related to peripheral artery disease with free Siddha energy remedies. There is no compulsion of training of ‘Swami Hardas Life System’ methods. This not only gives benefits to self but also it can be used for other affected persons, whether a person is in the same house, distantly available in the same city, same nation or may be in any corner of the world, however, both the procedures have been explained here.
3. Siddha Kalyan Sadhana for Peripheral artery disease (परिधीय धमनी रोग के लिए सिद्ध कल्याण साधना)
Recite this Sadhana with a Sankalp “My problems of peripheral artery disease are solved as early as possible and I should gain health”, which should be repeated in mind 3 – 3 times every after each stanza. Any person irrespective of caste, creed, religion, faith, sex, and age can recite this Sadhana for free, which should be repeated at least twice in a day. To know more, please click on this link.
4. CCPE products for Peripheral artery disease (परिधीय धमनी रोग के लिए CCPE उत्पाद)
These products work on the concepts of ‘Conceptual Creative Positive Energy’ (CCPE) within the provisions of ‘CCPE Life System’ and the theory of Quantum Technology to a certain extent. However, the products get activated only whenever touched by a human and then they become capable of solving the problem and achieving health. However, please use these products for peripheral artery disease as mentioned below:
CCPE Extractor: The CCPE Extractor should be gently moved over the Agya Chakra in a circular motion at least for 30 to 60 seconds, thereafter, follow the same process on the head, heart, naval, and knees for another 30 to 60 seconds, which finishes within almost 3 – 6 minutes.
CCPE Booster: Keep one Booster over the Agya Chakra and another one each over the head, heart, naval, and knees for 6 – 12 minutes. You may need to have 6 Boosters, which establishes positivity.
5. A daily routine (एक दैनिक दिनचर्या)
In general, a daily routine to manage peripheral artery disease may look like this:
- Carry out all medical checks as suggested above and follow the advice of your doctor
- Apply free Siddha energy remedies minimum 3 times a day, as explained above
- Do walking and exercises as explained
- Maintain a healthy body weight as it is necessary for the persons suffering from obesity
- Try to learn advanced methods of Swami Hardas Life System for fast recovery
Ensure to sprinkle in some fun during the day: Don’t forget to relax and laugh in between. Laughing is a great way to boost your immune system and help you.
Along with all the above activities, apply above explained free Siddha energy remedies minimum 3 times a day, the more is good. Just try the methods of Siddha Spirituality of Swami Hardas Life System. I am confident that you will surely find improvements within 15 days.
Training of Swami Hardas Life System (स्वामी हरदास लाइफ सिस्टम का प्रशिक्षण)
Any problem with regard to health, peace, and progress can be solved independently without money and medicines by undergoing training of Swami Hardas Life System. Any person irrespective of religion, caste, creed, faith, sex, and age can undergo this unique training.
In view of the above, I am confident that you have learned about peripheral artery disease, symptoms, causes, diagnosis, epidemiology, and treatments. You also learned free Siddha energy remedies. Now, you have become self-sufficient, hence its right time to use your acquired knowledge for solving problems as per the provision available in Siddha Spirituality of Swami Hardas Life System.
After reading this article, what are your thoughts? Would you please put more efforts into enhancing or updating your knowledge? Let me know your precious thoughts.
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