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Pain associated with vascular disease
Last reviewed: 23.04.2024
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Pain associated with vascular disease can occur with the following conditions.
- Functional vascular disorders (vasomotor pains):
- primary or secondary vasospasm (Raynaud's syndrome, acrocyanosis, ergotism):
- vasodilation (erythromelalgia).
- Obliterating vascular diseases:
- arterial (including mainly peripheral or organ vessels): arteritis, angiitis, diabetic angiopathy;
- venous (phlebitis, thrombophlebitis, deep vein thrombosis);
- lymphatic (inflammatory, parasitic).
- Disturbances of microcirculation (vascular pathology or changes in the rheological properties of the blood).
- Hereditary syndromes (Marfana. Ehlers-Danlos, Milroy and many others).
- Vessel compression (scars, tumors), trauma.
- Mixed options.
Embolic clots of arteries are caused by an unexpected overlap of the lumen of the artery by the embolus. Emboli often form in the heart. The condition for their formation in the heart is long atrial flutter at its vices, congestive dilated cardiomyopathy, sinus node weakness syndrome, infective endocarditis (emboli more often small, septic), myxomes (tumor emboli).
In second place in frequency is arterioarterial embolism. Clots in the arteries are formed with aneurysms, after catheterization, with high eosinophilia. Very rarely emboli migrate from the veins (cross embolism with arteriovenous fistulas, shunt overlays). Blood clots in the heart, emboli in large and medium-sized arteries well reveal echography, emboli in small arteries are usually detected angiographically.
The embolism of the artery is manifested by sharp pain with a clear beginning. Pain occurs almost simultaneously, but is fixed by the patient a little later. Ischemic syndrome develops (pallor and coldness of the limb, reduction of motor activity up to loss of function). If the embolus blocked the blood flow along a large artery (for example, the femur), then emergency gangrene can be prevented only by emergency surgery.
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