Chronic Venous Insufficiency Evaluation and Medical Management.

Autor: Wasan S; Department of Medicine, University of North Carolina, Rex Vascular Specialists UNC Health, 4414 Lake Boone Trail, Suite 505, Chapel Hill, NC, 27607, USA. Suman.wasan@unchealth.unc.edu.
Jazyk: angličtina
Zdroj: Current cardiology reports [Curr Cardiol Rep] 2024 Nov; Vol. 26 (11), pp. 1241-1247. Date of Electronic Publication: 2024 Aug 31.
DOI: 10.1007/s11886-024-02119-1
Abstrakt: Purpose of Review: This review will focus on comprehensive evaluation of chronic venous insufficiency (CVI), nuances in diagnostic testing and advances in medical therapies to provide improvement in patient specific outcomes.
Recent Findings: Chronic venous insufficiency of the lower extremities represents an often underrecognized source of morbidity. Comprehensive evaluation focuses on personal and family history of deep vein thrombosis and varicose veins. Diagnostic testing is initially with a thorough duplex ultrasound, but advanced imaging with CT scan and MRV may be indicated in selected patients who might benefit from more invasive intervention. Compression therapy, wraps and garments, remains the mainstay of conservative therapy for patients with CVI. In addition, there is renewed interest in lifestyle and nutritional supplements, most commonly micronized purified flavanoid fraction (MPFF), in relieving symptoms and preventing morbidity. A holistic approach to patients with CVI provides the best opportunity for enduring improvement in quality of life.
(© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE
Externí odkaz: