Chronic Venous Insufficiency Evaluation and Medical Management.

IF 3.1 3区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
Suman Wasan
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引用次数: 0

Abstract

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.

Abstract Image

慢性静脉功能不全评估和医疗管理。
综述目的:本综述将重点关注慢性静脉功能不全(CVI)的综合评估、诊断测试的细微差别以及医疗疗法的进展,以改善患者的具体治疗效果:下肢慢性静脉功能不全往往是一种未得到充分认识的发病原因。综合评估的重点是深静脉血栓和静脉曲张的个人和家族病史。诊断检测的最初方法是进行全面的双相超声检查,但对于可能受益于更具侵入性干预措施的特定患者,可能需要进行 CT 扫描和 MRV 等高级成像检查。对 CVI 患者来说,加压疗法、裹包和穿衣仍然是保守疗法的主要手段。此外,人们对生活方式和营养补充剂(最常见的是微粉纯化类黄酮成分(MPFF))在缓解症状和预防发病方面的作用重新产生了兴趣。对 CVI 患者采取综合治疗方法为持久改善生活质量提供了最佳机会。
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来源期刊
Current Cardiology Reports
Current Cardiology Reports CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
6.20
自引率
2.70%
发文量
209
期刊介绍: The aim of this journal is to provide timely perspectives from experts on current advances in cardiovascular medicine. We also seek to provide reviews that highlight the most important recently published papers selected from the wealth of available cardiovascular literature. We accomplish this aim by appointing key authorities in major subject areas across the discipline. Section editors select topics to be reviewed by leading experts who emphasize recent developments and highlight important papers published over the past year. An Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research. We also provide commentaries from well-known figures in the field.
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