New York Physician Marina Gafanovich Encourages PAD Testing…
…to Assess Patients for Risk of Heart Attack or Stroke
There are many people with peripheral artery disease but have mild or no symptoms. Some individuals may complain of calf pain while walking. Others may notice a change in color or coldness in the lower leg. In some cases when the disease is severe, the pain may occur at night and be associated with non-healing ulcers. Men may also complain of erectile difficulties.
Once peripheral artery disease starts, it usually progresses. It can be a serious disorder, which, if ignored,could lead to amputation of the toes or even the leg. The major problem with peripheral arterial disease is that because of blockages in the blood vessels, blood is unable to get to the lower part of the leg or the foot.
Risk factors for peripheral arterial disease include a history of diabetes and or smoking. Today, healthcare providers usually order some type of screening test to assess peripheral arterial disease. Besides a physical exam and blood test to measure cholesterol and blood sugar, other non-invasive tests are frequently done.
The two tests often done to assess for peripheral arterial disease include 1) ankle brachial index (ABI) and 2) ultrasound. The ABI is done by measuring blood pressure in the arm and leg and comparing the ratio. If the ABI is less than 0.9, this is indicative of a blockage somewhere in the blood vessel. To determine where the blockage is ultrasound Doppler testing is done. The ultrasound device can assess the rate of blood flow and site of obstruction. In some cases, the readings are done before and after exercise to determine severity of the disease. If the disease is mild, then the individual can be followed with repeat testing every year. If the disease in the arteries is severe, then referral is made to a vascular surgeon for further testing to determine how to improve the blood flow in the leg or foot.
Peripheral Arterial Disease (PAD) testing is a non-invasive test performed by NYC doctor, Dr. Gafanovich, to assess patients for risk of heart attack, stroke, or transient ischemic attacks (aka. Mini strokes). Dr. Gafanovich will ask the patient family history questions prior to any PAD assessment, as well as, various risk factors such as smoking, diet, OTC medications, etc.
The doctor checks pulse rates and blood pressure in your various extremities and makes comparisons that will allow her to assess those areas of your body that may show signs of lack of blood flow. At times she will use her stethoscope to listen for abnormal sounds.
The tests are non-invasive and painless, so patients with needle phobias needn’t worry.
New York Internist, Dr. Gafanovich uses the test results to diagnose the presence of PAD, as well as, whether or not the degree of PAD merits a referral to a specialist.
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As your New York doctor, Dr. Gafanovich will walk an extra mile to provide high-quality medical service you deserve. Entrust your health to one of the leading Internists in Upper East Side.
Milder cases of PAD can be treated in our office. Call (212) 249-6218 to schedule your appointment with Dr. Marina Gafanovich, MD in her conveniently located Upper East Side office.
Dr.Gafanovich is very professional, compassionate, and up-to-date on the latest medical procedures. She is an excellent listener, and very good at explaining diagnoses and medical procedures in everyday language. After each office visit, I walk out of the office feeling reassured and confident that I had the best medical care…
West New York, NY
I have worked in healthcare for roughly 7 years and physicians like Dr. Gafanovich are few and far between. She excels in both diagnostics and treatment and never rushes through an appointment. She is kind and compassionate and sets the bar for how medicine should be practiced. Her office staff…
I went to see Dr. Gafanovich for a routine physical. The girls at the desk were very nice and my wait time was short. Dr. Gafanovich was kind and knowledgeable. I also had blood work done and was impressed with how quickly I received the results and how thoroughly Dr….
Dr.Gafanovich is the best. She is so warm and wonderful. She really takes the time to speak to her patients and is very detailed in her explanations. She makes the examination very comfortable by talking through the entire procedure and explains what she is doing. Thank you.
Dr. Gafanovich is a compassionate, brillant and very pleasant professional. great experience. not like others. dr. Gafanovich came highly recommended by my entire firm and lived up to her reputation. I have since recommended her to friends. The office is very clean and professional. There is absolutely no sense of…
Dr. Gafanovich administers not only medical professional advice, she also has sincere interest and respect for her patients. My husband and I are her patients and she brings not just wisdom to her practice but also genuine sensitivity. The Lab Technician is a very caring and kind person. The office…
New York, New York