The two principal symptoms of peripheral vascular disease are intermittent claudication and rest pain. The most reliable physical finding is decreased or absent pulses. Listen for bruits, look for subcutaneous atrophy, hair loss, pallor, and cyanosis. B. Sudden occlusion- infarct a. Reperfusion effect C. Aneurysm Ed. This is based on observations from preinfarction angiograms.
Diaphoresis is particularly common in inferior infarcts.
Dyspnea and syncope are similarly associated. The syncopal episode is attributable to bradycardia, heart block and tachyarrythmias. Dizziness is also common. Patients are anxious and in distress. If a left bundle branch block occurs, the second heart sound splits.