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How Does Peripheral Artery Disease Affect Blood Flow​?

how does peripheral artery disease affect blood flow

Complete Explanation Of How Does Peripheral Artery Disease Affect Blood Flow

How does peripheral artery disease affect blood flow in a way that actually impacts your daily life? It’s the first thing a qualified healthcare professional should explain to you when you’re diagnosed with the condition.

Knowing this will help you make sense of what’s happening inside your body. It will also explain why certain symptoms appear, why they may worsen over time, and why timely treatment matters.

Peripheral artery disease develops when the arteries become narrowed or blocked. These arteries are responsible for delivering oxygen and nutrients your muscles need to function.

When blood flow is reduced, your muscles receive less oxygen than they require. This becomes especially noticeable during physical activity. It’s because that’s when your muscles need more oxygen to keep working.

That’s why people with PAD experience fatigue, discomfort, or weakness during movement. However, the symptoms appear gradually and get progressively worse if the condition becomes more severe.

Overview Of How Does PAD Affect Blood Flow

How efficiently blood flows through your arteries depends on two key factors. First, how wide the artery is. The second is how well it responds to your body’s changing demands.

In healthy arteries, the inner lining helps regulate circulation. It does so by allowing the blood vessels to widen when more blood is needed. PAD disrupts both of these functions.

The artery not only becomes physically narrower, but it also loses the ability to adjust properly. This makes circulation less responsive and less efficient.

The effects are especially visible during movement when muscles require more oxygen. Blood flow stays restricted even when it should increase to meet the demand.

So, how does PAD affect blood flow? Here are a few ways it happens:

Plaque Buildup Narrows The Inside Of The Arteries:

Peripheral artery disease develops when plaque builds up along the inner wall of the artery. This plaque is made of cholesterol, fat, calcium, and inflammatory cells. If it keeps accumulating, it starts covering the entire space inside the artery.

This space is called the lumen. Blood flows through the lumen to reach downstream tissues. When plaque blocks up the artery, less blood can pass through with each heartbeat.

PAD diseases usually starts off as a mild narrowing of the arteries. But when the condition progresses, and more plaque builds up, the blockage gets bigger.

Plaque also affects the inner lining of the artery, called the endothelium. This lining helps regulate blood flow by allowing the artery to widen when needed.

When plaque is present, the endothelium loses its flexibility and reactivity. So, this essential function gets impaired. The artery cannot expand normally, further limiting circulation during activity.

how does PAD affect blood flow​

Narrowed Arteries Limit The Ability To Increase Blood Flow:

Your body constantly adjusts blood flow based on demand. When muscles need more oxygen, arteries widen to allow more blood to pass through.

This ability is called peripheral perfusion reserve. Peripheral artery disease reduces this reserve.

So, how does PAD affect blood flow and the capacity to increase blood flow?

In people with PAD, the narrowed artery is already operating near its maximum capacity at rest. It cannot widen enough to deliver additional blood when there’s more demand. That’s why the body cannot respond well to physical exertion.

Blood flow may remain sufficient for basic survival. But it cannot increase to support higher levels of activity. This creates a functional limitation even if the artery isn’t completely blocked.

Blood Flow Becomes Insufficient During Physical Activity:

During physical activity, the muscles require more oxygen. A healthy body can meet this demand by increasing blood flow several times above resting levels. This allows muscles to produce energy and keep functioning normally.

In people with PAD, the body cannot meet this demand because of the narrowed or blocked arteries. Blood flow remains limited even when the muscles require more oxygen.

When this happens, muscles begin to tire out more quickly. That’s why PAD symptoms often become noticeable during walking or exercise.

Reduced Blood Flow Affects How Muscles Produce Energy:

Muscle cells rely on oxygen to produce energy. This process is called aerobic metabolism, and it generates the energy required for muscle contraction and endurance. When oxygen supply to the muscle drops, this system fails to perform normally.

Without adequate oxygen, muscle cells switch to anaerobic metabolism. This produces far less energy than aerobic metabolism does. Anaerobic metabolism is also responsible for the rapid buildup of metabolic byproducts.

Over time, muscles start to weaken due to this lack of oxygen. Cells cannot repair or maintain themselves properly. Muscles become less efficient, and endurance drops significantly.

Severe Blockage Can Stop Circulation Completely:

If plaque continues to grow, the artery may become critically narrowed or fully blocked. This prevents blood circulation significantly, and tissues lose their source of oxygen and nutrients.

This condition is called ischemia. If ischemia persists, cells start to die, and tissues start to get damaged. In people with advanced stages of PAD, blood circulation is severely reduced.

In such cases, symptoms may appear even while resting. Another common sign is that wounds start to heal very slowly. Patients may have trouble recovering from even minor injuries.

So, the answer to the question “how peripheral artery disease affect blood flow” is not simple. It happens in multiple stages.

how peripheral artery disease affect blood flow

Restore Optimal Blood Flow With The Right Treatment

Peripheral artery disease is a progressive disease. That means it doesn’t go away on its own. And if left untreated, it can get progressively worse with time.

Thankfully, the right PAD treatment can significantly improve or even restore blood flow. A proper approach typically includes medications and lifestyle changes. In more advanced cases, certain minimally invasive vascular procedures may be necessary.

Choosing the right clinic is crucial to make sure you get the right treatment for PAD. Advanced Medical Group is one of the most renowned facilities for PAD-related treatments. The experts here have years of experience in treating this condition.

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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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