Queen Elizabeth II, who died on September 8, may have suffered from peripheral vascular disease, also known as “lower extremity obliterating arteriopathy” (LOO), according to an Australian doctor. What is ? What symptoms? deals? Explanation with our cardiologist.
According to Dr. Deb Cohen-Jones, an Australian doctor interviewed by the English site Dailymail, Queen Elizabeth II, who died on September 8, 2022, may have suffered a peripheral vascular disease, also called “peripheral arterial disease” or “Obliterating arteriopathy of the lower limbs (AOMI) in France. the photos of marble hands of the Queen taken during her meeting with the new British Prime Minister Liz Truss at Balmoral Castle in Scotland on Tuesday, September 6, were according to this doctor a “sign of deteriorating health”. “If your peripheral circulation is poor, the organs do not receive a good blood supply. This may be a sign of a Multi-organic failure” explained to our colleagues. “Queen Elizabeth II was still 96 years old, there is a normal aging of the body and it is already an extraordinary longevity” Immediately reacts Dr. Emmanuelle Berthelot, cardiologist, contacted on September 8. Before remembering that “Cardiovascular disease is the leading cause of death among women. The queen died of a rather banal cause of death, a cardiovascular problem.“.
What is peripheral vascular disease?
Peripheral vascular disease also called “peripheral arterial disease” is a blood circulation disorder caused by fatty deposits (atherosclerotic plaque) on the walls of the arteries (atherosclerosis) leading to narrowing of the arteries (stenosis) and blockages in the vessels. “Arteries are present throughout the body, when the atherosclerotic plaques are deposited in the arteries of the heart, a heart attack occurs. When they are deposited at the peripheral level (outside the heart): this is called arteriopathy obliterans of the lower limbs or OMAO” Dr. Berthelot continues. PAD occurs more often at the level of the legs but can also touch other arteries that carry blood away from the heart (arteries that go to the aorta, brain, arms, kidneys, and stomach). It is a disease that would affect 5% of people under 60 in France, 20% older than 65-70 years.
Do we die for it?
“Usually, we do not die of this disease but of its complications, the cardiologist answers. Due, for example, to the lack of oxygenation of the tissues, the wounds do not heal, they become infected and we die of the infection.
What are the symptoms of peripheral vascular disease?
Many people do not experience symptoms at the onset of peripheral vascular disease. Some feel discomfort or pain in the lower legs when walking. “For many people, symptoms will not appear until the artery has narrowed by 60% or more” says the Canadian Vascular Health Foundation. The most common signs include:
- Pain in the legs, thighs, or buttocks when walking that goes away when you rest
- Discomfort when walking (intermittent claudication)
- Pain in the feet or toes, at rest
- Ulcers or sores on the skin of the feet or toes.
The symptoms that are felt in the legs are due to the difficulties of blood supply in this area.
The diagnostic test for peripheral vascular disease is thedoppler echo arteries of the lower limbs. It will specify the affected arteries, the degree of the lesions… It can also be carried out: a electrocardiograma scintigraphy even a coronary angiography. The doctor will also look for possible high blood pressure by taking the patient’s blood pressure. A blood test may be ordered to look for excess cholesterol, diabetes, kidney failure, a bleeding disorder, red blood cells, or platelets.
What are the treatments?
PAD is a serious disease that can lead to amputation, it reduces life expectancy. It is very important to follow your treatment well. The treatment is multidisciplinary. Its objective is to correct cardiovascular risk factors through lifestyle and dietary regulations, a gait rehabilitation program, medical and surgical treatments. the Surgical treatment is indicated depending on the degree of severity Peripheral arterial disease. The surgeon may offer endovascular treatment (percutaneous arterial balloon dilation and/or implantation of a metal stent or endoprosthesis) or conventional surgical treatment (bypass, endarterectomy, etc.).
Thanks to Dr. Emmanuelle Berthelot, cardiologist, hospital doctor and head of clinical unit in the cardiology department of Bicêtre hospital, in the Paris region.
Doctor points to telltale sign in Queen’s last royal appointment that death was near: ‘She was putting on a brave face’, Dailymail, 9 Sep 2022
Obliterating arteriopathy, French Federation of Cardiology.
Peripheral Arterial Disease Screening, Cochrane, 2014
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