Vascular Medicine

Cardiologists acquire the requisite skill set to exactly evaluate and treat coronary disease, but few cardiologists may allegation they are equally conversant in vascular medicine. Almost one-third of patients with coronary artery disease have accessory overt or occult peripheral vascular disease. accessible physical examination demonstration of vascular diseases are easily neglected if an otherwise alert mind has deficient exposure as a trainee. Patients with vascular disease often are first assessed by cardiologists, but they may also be found in the clinic of the doctor, neurologist, internist, or podiatrist. As a result, the care of the patient with vascular syndrome is a bit fragmentary. Cardiologists are not board certified in cardiology, but in cardiovascular disease. It behooves us to contemplate that vascular disease is, therefore, one-half of the specialty we acceptation to be skilled in practicing. A recent Core Cardiovascular Training Statement clearly establish the component competencies required to accurately assess and treat vascular disorders . I found this report to be absolutely sobering. Few cardiovascular trainees myself included fully appreciate the breadth and extent of vascular medicine or how to rectify academic dearth in this area. Disorders of the venous, arterial, and lymphatic vasculature contribute extremely to patient morbidity and mortality. evaluate and treating disorders of the vasculature requires a strong foundation in natural internal medicine. Vascular disease may manifest as embolism, vasospasm, atherothrombosis, vasospasm, inflammation, embolism, or aneurysm formation