Chronic venous insufficiency in the context of Post-thrombotic syndrome


Chronic venous insufficiency in the context of Post-thrombotic syndrome

⭐ Core Definition: Chronic venous insufficiency

Chronic venous insufficiency (CVI) is a medical condition characterized by blood pooling in the veins, leading to increased pressure and strain on the vein walls. The most common cause of CVI is superficial venous reflux, which often results in the formation of varicose veins, a treatable condition. Since functional venous valves are necessary to facilitate efficient blood return from the lower extremities, CVI primarily affects the legs.

When impaired vein function leads to significant symptoms such as oedema (swelling) or venous ulcer formation, the condition is referred to as chronic venous disease. It is also known as chronic peripheral venous insufficiency and should not be confused with post-thrombotic syndrome, a separate condition caused by damage to the deep veins following deep vein thrombosis (DVT).

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Chronic venous insufficiency in the context of Human height

Human height or stature is the distance from the bottom of the feet to the top of the head in a human body, standing erect. It is measured using a stadiometer, in centimetres when using the metric system or SI system, or feet and inches when using United States customary units or the imperial system. In the early phase of anthropometric research history, questions about height measuring techniques for measuring nutritional status often concerned genetic differences.

Height is also important because it is closely correlated with other health components, such as life expectancy. Studies show that there is a correlation between small stature and a longer life expectancy. Individuals of small stature are also more likely to have lower blood pressure and are less likely to acquire cancer. The University of Hawaii has found that the "longevity gene" FOXO3 that reduces the effects of aging is more commonly found in individuals of small body size. Short stature decreases the risk of venous insufficiency.

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Chronic venous insufficiency in the context of Edema

Edema (American English), also spelled oedema (Commonwealth English), and also known as fluid retention, swelling, dropsy and hydropsy, is the build-up of fluid in the body's tissue. Most commonly, the legs or arms are affected. Symptoms may include skin that feels tight, the area feeling heavy, and joint stiffness. Other symptoms depend on the underlying cause.

Causes may include venous insufficiency, heart failure, kidney problems, low protein levels, liver problems, deep vein thrombosis, infections, kwashiorkor, angioedema, certain medications, and lymphedema. It may also occur in immobile patients (stroke, spinal cord injury, aging), or with temporary immobility such as prolonged sitting or standing, and during menstruation or pregnancy. The condition is more concerning if it starts suddenly, or pain or shortness of breath is present.

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