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Treatments for Cardio-Related Vasculitis & PAD

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darodri6's version from 2016-09-06 14:24

Section

Disease/ConditionTreatment
Takayasu ArteritisCorticosteroids (taper down) and/or surgical bypass
Giant Cell Temporal ArteritisCorticosteroids (taper down) NON-DELAYED
Kawasaki DzIVIG and/or ASA
Thromboangiitis Obliterans (aka Buerger Dz)Smoking cessation & possible debridement
Ascending Aortic AneurysmAscending Aorta (if due to CT disorder) = BB's or ARB's
Aortic Aneursymsbased on SIZE (requires serial monitoring), surgery if growing > 1cm/yr, modifying risk factors (smoking, HTN, lipids)
Aortic Dissectionbased on LOCATION
Ascending Aortic DissectionMorphine (for pain), Surgery + BB's (propanolol or labetalol)/Nitroprusside....AVOID HYDRALAZINE!
Descending Aortic DissectionChronic management with BB's, decrease strenuous activity, + serial imaging
PADA-R-C (Antiplatelet therapy, Risk Modification(smoking, HTN, DM, dyslipidemia)/Revascularization(when possible), Cilostazol (PDE inhibitor = inc. vasodilation)
PAD due to sudden blockAnti-Coagulation therapy (Heparin/LMWH + Warfarin/Vit K Antagonist) + Revascularization
Raynauds PhenomenonAvoid Cold + CCB's
Varicose VeinsCompression, Sclerosing Agents
Chronic Venous InsufficiencyCompression
DVTAnti-Coagulation (Heparin/LMWH 1st, Warfarin 2nd) UNLESS there is an IVC filter/embolectomy
Pulm EmbolismAntio-Coagulation (Heparin/LMWH 1st, Warfarin 2nd)
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