Fibromuscular dysplasia history and symptoms: Difference between revisions
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{{Fibromuscular dysplasia}} | {{Fibromuscular dysplasia}} | ||
{{CMG}}; {{AE}} | {{CMG}}; {{AE}}{{M.B}} | ||
==Overview== | ==Overview== | ||
Since Fibromuscular dysplasia can involve virtually every [[artery]] of the body, thus the clinical presentations of FMD vary widely and are determined by the [[vessel]]s territories that are involved. | Since Fibromuscular dysplasia can involve virtually every [[artery]] of the body, thus the clinical presentations of FMD vary widely and are determined by the [[vessel]]s territories that are involved.The clinical presentations of FMD may result from the [[stenosis]], occlusion, [[ischemia]], [[dissection]], [[rupture]] of [[aneurysm]]s and [[embolization]] of intravascular [[thrombi]] from dissection or aneurysms.<ref>{{Cite journal | ||
The clinical presentations of FMD may result from the [[stenosis]], [[ischemia]], [[dissection | |||
| author = [[Jeffrey W. Olin]] & [[Brett A. Sealove]] | | author = [[Jeffrey W. Olin]] & [[Brett A. Sealove]] | ||
| title = Diagnosis, management, and future developments of fibromuscular dysplasia | | title = Diagnosis, management, and future developments of fibromuscular dysplasia |
Revision as of 16:53, 18 June 2018
Fibromuscular dysplasia Microchapters |
Diagnosis |
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Treatment |
ASA/ACCF/AHA Guideline Recommendations |
Management of Patients With Fibromuscular Dysplasia of the Extracranial Carotid Arteries |
Case Studies |
Fibromuscular dysplasia history and symptoms On the Web |
American Roentgen Ray Society Images of Fibromuscular dysplasia history and symptoms |
Risk calculators and risk factors for Fibromuscular dysplasia history and symptoms |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohsen Basiri M.D.
Overview
Since Fibromuscular dysplasia can involve virtually every artery of the body, thus the clinical presentations of FMD vary widely and are determined by the vessels territories that are involved.The clinical presentations of FMD may result from the stenosis, occlusion, ischemia, dissection, rupture of aneurysms and embolization of intravascular thrombi from dissection or aneurysms.[1][2]
History and Symptoms
- The majority of patients with fibromuscular dysplasia are asymptomatic.
- The hallmark of FMD is hypertension in women with the prime of their life, whereas FMD can occur in both genders at any age, its presentations across the lifespan.
In general, the clinical presentations of FMD in women as compared with men are somewhat different. manifestations of cerebrovascular FMD are more likely to occur in women, whereas manifestations of renal FMD, arterial dissections and aneurysms are more common in men.[3] The most common presenting symptoms in 417 individuals from the United States FMD Registry are as follows:[4]
- Headache
- Pulsatile tinnitus
- Neck pain
- Flank or abdominal pain
The most common presenting signs of FMD are as follows:
. A positive history of headache, pulsatile tinnitus, neck pain, and flank or abdominal pain are suggestive of FMD. The most common signs of FMD include hyperetension , cervical bruit, abdominal bruit, and transient ischemic attack.
Less Common Symptoms
Less common symptoms of FMD include:
- Chest pain or shortness of breath
- Postprandial abdominal pain
- Claudication
- Amaurosis fugax
- Weight loss
- Horner syndrome
- Azotemia
- Myocardial infarction
- Mesenteric ischemia
References
- ↑ Jeffrey W. Olin & Brett A. Sealove (2011). "Diagnosis, management, and future developments of fibromuscular dysplasia". Journal of vascular surgery. 53 (3): 826–836. doi:10.1016/j.jvs.2010.10.066. PMID 021236620. Unknown parameter
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ignored (help) - ↑ Jeffrey W. Olin, Heather L. Gornik, J. Michael Bacharach, Jose Biller, Lawrence J. Fine, Bruce H. Gray, William A. Gray, Rishi Gupta, Naomi M. Hamburg, Barry T. Katzen, Robert A. Lookstein, Alan B. Lumsden, Jane W. Newburger, Tatjana Rundek, C. John Sperati & James C. Stanley (2014). "Fibromuscular dysplasia: state of the science and critical unanswered questions: a scientific statement from the American Heart Association". Circulation. 129 (9): 1048–1078. doi:10.1161/01.cir.0000442577.96802.8c. PMID 24548843. Unknown parameter
|month=
ignored (help) - ↑ Esther S. H. Kim, Jeffrey W. Olin, James B. Froehlich, Xiaokui Gu, J. Michael Bacharach, Bruce H. Gray, Michael R. Jaff, Barry T. Katzen, Eva Kline-Rogers, Pamela D. Mace, Alan H. Matsumoto, Robert D. McBane, Christopher J. White & Heather L. Gornik (2013). "Clinical manifestations of fibromuscular dysplasia vary by patient sex: a report of the United States registry for fibromuscular dysplasia". Journal of the American College of Cardiology. 62 (21): 2026–2028. doi:10.1016/j.jacc.2013.07.038. PMID 23954333. Unknown parameter
|month=
ignored (help) - ↑ Jeffrey W. Olin, James Froehlich, Xiaokui Gu, J. Michael Bacharach, Kim Eagle, Bruce H. Gray, Michael R. Jaff, Esther S. H. Kim, Pam Mace, Alan H. Matsumoto, Robert D. McBane, Eva Kline-Rogers, Christopher J. White & Heather L. Gornik (2012). "The United States Registry for Fibromuscular Dysplasia: results in the first 447 patients". Circulation. 125 (25): 3182–3190. doi:10.1161/CIRCULATIONAHA.112.091223. PMID 22615343. Unknown parameter
|month=
ignored (help)