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How Peripheral Artery Disease Affects Kidney Function?

how peripheral artery disease affects kidney function

Peripheral Artery Disease Risks To Kidney Health You Should Know

PAD is a common but serious condition, yet many people do not know it. In the United States alone, it affects 10 million adults, while this number has reached over 200 million worldwide. PAD disease is a gathering of extensive blockages within the arteries which has been caused by plaque buildup.

This plaque, made of cholesterol, fat, and calcium, lowers blood flow in your arms, legs, or feet. Although the most commonly affected area in PAD is the limbs, this disease can also be harmful to other parts of our bodies including vital organs like kidneys. Research indicates that people with chronic kidney disease (CKD) are at greater risk of having PAD, so it remains pertinent to delve deeper into how both diseases can be linked together.

In this post, we will talk about how peripheral artery disease affects kidney function and some of its symptoms; then, we will go onto the ways to control it, ensuring safety from further damage. But first, let’s understand the link between PAD and CKD.

Why PAD Can Lead To Chronic Kidney Disease?

The complications of progressive kidney disease extend to developing PAD in people with CKD. As such, patients with CKD face an extremely serious risk of experiencing PAD.

1. CKD can cause atherosclerosis, a condition where arteries narrow and harden. It’s very common in patients that present with end-stage renal disease. Due to its gradual progression, failing kidneys can alter blood flow patterns and affect the health of the blood vessels, increasing a patient’s susceptibility to PAD.

2. The mutual relation between CKD and PAD is cyclical: while CKD contributes to worsening PAD, the presence of PAD in patients leads to a further downgrade in kidney function. This creates a challenging situation for treating both conditions effectively.

3. Studies have indicated that the presence of PAD amongst people with CKD is significantly higher when compared to the general population. In 2014, PAD affected approximately 4.3 percent of U.S. adults aged over 40 years old. The risk is even greater in CKD patients, particularly those on dialysis.

The Effects Of PAD On Overall Kidney Health

Now that we have seen just how much peripheral artery disease (PAD) is connected with kidney function, let’s see the changes in their functioning:

Poor Blood Flow

PAD not only causes pain to the patients but also prohibits blood flow throughout other areas of their body. This narrowing of the arteries that flow blood to the kidneys is because of atherosclerosis, where reduced blood flow restricts oxygen demands for the kidney. A lack of oxygen damages the kidneys because they use so much energy to filter out waste and maintain their general health.

Higher Likelihood Of ESRD

They are at a higher risk of developing severe kidney complications because PAD causes reduced blood flow to the kidneys, making them statistically more likely to have End-Stage Renal Disease (ESRD). This is when a person’s kidneys have failed irreversibly. By the time an individual reaches this stage, they are typically in need of dialysis or transplant to survive.

how does peripheral artery disease affect kidney

High Blood Pressure

Another result of PAD can be that it results in high blood pressure or hypertension. The plaque in your arteries constricts the blood flow, making it difficult for oxygen-rich red cells to reach an area that needs repair. The faster they run, the more energy they expend in a way that raises blood pressure, and hypertension causes wear and tear on their kidneys over decades. High blood pressure is also aggravated by kidney disease, driving some level of a vicious cycle between the two conditions.

Inflammation And Damage

Another important factor is inflammation. People with PAD often experience systemic inflammation, which can harm various organs, including the kidneys. This inflammation can make existing kidney issues worse and lead to additional complications.

Complications Of Diabetes

Diabetes occurs in many people with PAD. This connection can worsen kidney health as diabetes can develop into a specific type of nephropathy called diabetic nephropathy. When taken alongside PAD, however, the risks of developing kidney conditions are amplified.

Management Strategies For PAD And CKD

Managing both CKD and PAD can be challenging due to their interconnected nature. However, understanding their relation and how PAD affects kidney function can make a big difference. Here are some useful tips for managing PAD and CKD:

Frequent Checkups

Patients with PAD must get regular kidney checkups, focusing on creatinine levels in their blood and other kidney function markers.

Lifestyle Changes

This involves eating a healthy diet that is full of fruits, vegetables, whole grains, and lean proteins. Regular exercise can help to improve blood flow and heart health as well.

how PAD affects kidney function

Medications

Different meds can be used to treat the symptoms of PAD and/or reduce the progression of CKD. For example, the use of medicines that lower blood pressure or cholesterol-lowering medicines and other medications that act to improve circulation.

Smoking Cessation

A responsible action for smokers with both PAD and CKD is to stop smoking. The very inflammation seen in each of these conditions can also be worsened by smoking since the double effect further cripples an often already depleted blood supply.

Hand-off to the Specialists: Patients should have access to nephrologists and PAD specialists. Adopting a multidisciplinary approach, incorporating insights from a PAD specialist and nephrologist, can offer personalized care for your PAD treatment.

Prioritizing Awareness And Management Of PAD For Kidney Health

Peripheral Artery Disease is not just a concern for your legs; it can significantly impact kidney function and overall health. Therefore, it is of prime importance to detect symptoms of PAD and how peripheral artery disease leads to the deterioration of the kidney so that proper intervention with effective management can be done.

Consult a healthcare professional or PAD specialist at Advanced Medical Group right away if you think you might have PAD or are experiencing any symptoms of PAD. AMG can create a comprehensive plan to diagnose and treat your PAD, including care for potential side effects on kidney function, helping you stay active and live a longer, healthier life.

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Fathima

Fatima Shaik MD

Cardiologist

Fatima Shaik is a board certified internist and cardiologist. She specializes in general cardiology and heart rhythm disorders. She cares for patients at Advanced Medical Group in Jersey City and North Bergen. She also performs procedures at Jersey City Medical Center.

She completed her undergraduate education at NYU and received her MD degree for SUNY Downstate Medical Center. She completed her residency training at Mount Sinai Beth Israel Medical Center and her cardiology fellowship at New York Presbyterian Queens. She went on for advanced training in electrophysiology at Cooper Hospital in Camden, NJ.
She is trained in device implantation, SVT and atrial fibrillation ablations as well as watchman implantations.
She is fluent in English and Hindi.
She is currently accepting new patients.

Reema Parikh, DPT

Physical Therapist

Reema Parikh received two bachelor’s degrees from Long Island University and Touro College, and graduated as a Doctor of Physical Therapy from Touro College in 2013. In her early years as a DPT, she received an award for excellence in research and taught a course for the national physical therapy licensing board exam. Dr. Parikh has a passion for helping patients on their health journey; she is experienced in all ages and care of patients, ranging from pediatric care to geriatric care. She has hosted live and virtual workouts for varying levels of physical activity, incorporating mobility and strength segments. Dr. Parikh has furthered her education by receiving certifications in many aspects of physical therapy and holistic care including Nutritional PT, Restorative Yoga, Pilates, and Reiki.

Maria-Avila

Maria Avila, NP

Nurse Practitioner

Coming Soon

Location

Jersey City

Union City

West New York

North Bergen

Jersey City

North Bergen

Dr. Parab

Aishwarya Parab, PT

Physical Therapist

Aishwarya Parab received her Bachelors in Physiotherapy in India in 2015 and furthered her studies at Long Island University where she graduated with her Masters in Exercise Science, Sports, and Nutrition in 2019. She has experience working with various conditions, including herniated disks, spondylolysis, and post-operative mobility issues. Aishwarya has taken courses to expand her knowledge in the physical therapy world, including spinal mobility courses, neuromuscular reeducation courses, and getting a certificate with Revolution in Motion. Aishwarya finds it exceedingly rewarding to build a long-term relationship with her patients and shows commitment towards providing structured and effective healthcare.

Dr. Prajakta Avhad

Prajakta Avhad, MD

Pain Management located in Franklin Township, Somerset, NJ & East Brunswick, NJ

About Dr. Avhad
Dr. Prajakta Avhad is double board-certified in Pain Management and Anesthesiology. Dr. Avhad received her M.B.B.S. from MIMER, India, and completed her Surgical internship and Anesthesia residency at Brookdale University Hospital in Brooklyn, New York during which she interned at Memorial Sloan Kettering, St. Luke’s Roosevelt, and Staten Island Hospital.

She then completed her Pain Management Fellowship from Cleveland Clinic Foundation.

Dr. Avhad is a diplomate of the American Board of Anesthesiology and a member of the American Academy of Pain Medicine.

Dr. Avhad has been in practice in Central and South Jersey for more than 12years. She is a caring physician with expertise and experience in treating a spectrum of Pain conditions like chronic back and neck pain, herniated discs/sciatica with minimally invasive interventional procedures.

Dr. Avhad and her family reside in New Jersey. She is an avid gardener active with her kids, dog, and garden if not tending to her broad and exotic orchid collection.

Radhika Patel PA-C

Radhika Patel, PA-C

Physician Assistant located in Jersey City, NJ

About Patel
Graduating summa cum laude from Rutgers University with a BA in Biological Sciences and minor in Spanish, Radhika Patel obtained experiences in outpatient medicine as well as in emergency medical services prior to pursuing a career as a physician assistant. She graduated from the Rutgers University Physician Assistant program with a Master of Science after training in cardiology, internal medicine, and urgent care, among many other fields at various hospitals and private practices throughout the state of New Jersey. She is a proud member of the team at Advanced Garden State Cardiology and looks forward to meeting with patients each day in our Jersey City office.

Enrique D Chappilliquen Lucio, PA-C

Enrique Chappilliquen, PA-C

Physician Assistant located in Union City, NJ & Jersey City, NJ

About Dr. Chappilliquen
Graduated from Mercy College Physician Assistant Program with a Masters of Science in Physician Assistant Studies, Enrique has extensive experience in the medical field for more than 6 years.

He has clinical experience and training in internal medicine, cardiology, general and vascular surgery, hematology, oncology, and emergency medicine. He joined Dr. Richard’s practice in October of 2016. Since then, he has been a dedicated medical provider working in the Union City office and the Hematology/Oncology office in Jersey City as well.

As a Hispanic, he proudly serves his community with passion and devotion. Being able to communicate fluently with his patients allows him the opportunity to provide excellent medical care to the Hispanic community in Union City and Jersey City. Also, sharing the same language, culture, and values as his patients allows him to connect at a personal level with his patients. Enrique continues to develop his knowledge and skills constantly to continue satisfying the needs of his patients.

Dr Christopher Samaniego, DPM

Christopher Samaniego, DPM

Podiatrist located in Jersey City, NJ, Union City, NJ, and West New York, NJ

Christopher Samaniego, DPM, is originally from Freehold, New Jersey. He attended college at Messiah College, where he graduated Magna Cum Laude with a degree in Biology. He earned his podiatric medical degree from Temple University School of Podiatric Medicine in Philadelphia, PA and completed his surgical residency training at Detroit Medical Center in Detroit, MI. 

Dr. Samaniego provides comprehensive foot and ankle care at Advanced Medical Group in Jersey City, Union City, and West New York. His specialized surgical training includes

  • Bunion
  • Hammertoe correction
  • Diabetic foot care
  • Fungal nail care
  • Plantar fasciitis, tendinitis, orthotics
  • Gout, warts, neuroma care
  • Flat feet and high arched feet
  • Foot and ankle trauma
  • Adult and paediatric foot conditions
  • Arthritis of the foot and ankle
  • Arthroscopy, joint replacement, minimally invasive techniques

Samaniego is a member of the American College of Foot and Ankle Surgeons and the American Podiatric Medical Association. He keeps up to date on the latest surgical techniques and available technology in foot and ankle care.

Prior to joining Advanced Medical Group, Samaniego studied public healthcare in Zambia and assisted in providing care to the local community. He has also presented research at the annual meeting of the American College of Foot and Ankle Surgeons. Samaniego achieved the highest rank of Eagle Scout through the Boy Scouts of America and volunteered with Troop 454 for scouts with special needs and the Freehold Public Library. In his free time, Samaniego volunteers with his local church community service and youth programs.

Samaniego resides in Jersey City, NJ and maintains his health by cycling and interval training several times a week. He explains, “Healthy doctors inspire healthy patients. I follow the same advice I give my patients, and I read constantly to become a better physician every day. I encourage my patients to ask questions and learn about the cause of their symptoms. An ounce of prevention is worth a pound of cure.”

Dr. Merwin Richard, MD. A cardiologist

Merwin Richard, MD

Cardiologist located in Jersey City, NJ & Union City, NJ

As an established board-certified internist and cardiologist, Merwin Richard, MD, has a reputation for helping patients with the most complex of health conditions. He cares for patients at Advanced Medical Group in West New York, Jersey City, and Union City, New Jersey.

Richard began his undergraduate education in medicine at Stanley Medical College in India. He earned his doctor of medicine degree from Tamil Nadu Dr. M.G.R. Medical University before relocating to New York City.

After completing both his internship and internal medicine residency through the Albert Einstein College of Medicine, Dr. Richard went through advanced fellowship training. He completed a cardiovascular fellowship at Columbia University College of Physicians and Surgeons, then went on to finish a second fellowship in interventional cardiology through Mount Sinai School of Medicine (now Icahn).

 

Throughout his career, Richard has stayed involved in numerous research projects and previously served as a professor at the University of Medicine and Dentistry of New Jersey (now Rutgers University). Richard went on to become the director of the first cardiac catheterization and interventional laboratory in Jersey City and has extensive training in vein treatments.

To ensure he continues staying up to date with the latest research and techniques, Richard maintains his board memberships. He’s board certified through the American Board of Internal Medicine in cardiovascular disease and interventional cardiology.

Being fluent in English,  Spanish, and Tamil gives Richard the opportunity to communicate with patients from diverse cultural backgrounds. Richard is currently accepting new patients.

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