What was Elizabeth II suffering from?

Queen Elizabeth II, who died on September 8, may have suffered from a peripheral vascular disease also known as “obliterating arteriopathy of the lower limbs” (AOMI), according to an Australian doctor. What is that ? What symptoms? treatments? Explanation with our cardiologist.

according to dr Deb Cohen-Jones, an Australian doctor interviewed by English website Dailymail, Queen Elizabeth II, who died on September 8, 2022, may have been suffering from a peripheral vascular disease, also “peripheral arterial disease” or “obliterating arteriopathy of the lower extremities” (AOMI) in France. The pictures of marbled hands of the Queen, taken during her meeting with Britain’s new Prime Minister Liz Truss on Tuesday 6 September at Balmoral Castle in Scotland, according to this doctor were a “Signs of Declining Health”. “If your peripheral circulation is poor, the organs are not well supplied with blood. This can be a sign for a multiple organ failureshe explained to our colleagues. “Queen Elizabeth II was still 96 years old, there is normal aging of the body and it is already extraordinary longevity” responded immediately dr. Emmanuelle Berthelot, cardiologist, contacted 8 September. Before I remember “Cardiovascular disease is the leading cause of death in women. The Queen died from a fairly banal cause of death, a cardiovascular problem.

What is peripheral vascular disease?

Peripheral vascular disease, also known as “peripheral arterial disease”, is one Circulatory disorders due to fatty deposits (atheroma plaque) on the arterial walls (atherosclerosis), which leads to narrowing of the arteries (stenosis) and blockages in the vessels. “The arteries are present throughout the body when the atheroma plaques being deposited in the arteries of the heart, it makes a heart attack. If you are deposited at the peripheral level (outside the heart): this is known as obliterating arteriopathy of the lower extremities, or AOMI. drives Dr. Berthelot gone. PAD occurs more frequently at the level of the legs but also can touch other arteries that carry blood from the heart (arteries that lead to the aorta, brain, arms, kidneys, and stomach). It is a disease that would affect 5% of people under 60 in France, 20% over 65-70 years old.

Are we dying?

“In general, we do not die of this disease, but of its complications, replies the cardiologist. For example, due to the lack of oxygen supply to the tissues, the wounds do not heal, become infected and we die from the infection.

What are the symptoms of peripheral vascular disease?

Many people have no symptoms at the onset of peripheral vascular disease. Some feel uncomfortable walking or have pain in their lower legs. “For many people, symptoms don’t appear until the artery has narrowed by 60% or more.” says the Canadian Vascular Health Foundation. The most common signs include:

  • fatigue
  • Pain in the legs, thighs, or buttocks when walking that goes away when you rest
  • Difficulty walking (intermittent claudication)
  • Pain in feet or toes at rest
  • Ulcers or sores on the skin of the feet or toes.

The symptoms in the legs are due to the difficulties of the blood supply in this area.

The diagnostic test for peripheral vascular disease is theDoppler echo Arteries of the lower extremities. He will indicate the arteries affected, the degree of the lesions, etc. Can also be done: a ECGa scintigraphy even one coronary angiography. The doctor will also check for possible high blood pressure by measuring the patient’s blood pressure. A blood test may be prescribed to check for excess cholesterol, diabetes, kidney failure, a blood clotting disorder, red blood cells, or platelets.

What are the treatments?

PAD is a serious disease that can lead to amputation and reduces life expectancy. It is very important that you follow your treatment well. Treatment is multidisciplinary. It aims to correct cardiovascular risk factors through lifestyle and dietary rules, a hearing rehabilitation program, and medical and surgical treatments. the Depending on the severity, surgical therapy is indicated peripheral arterial disease. The surgeon may offer endovascular treatment (percutaneous arterial dilation with a balloon and/or implantation of a metal endoprosthesis or stent) or conventional surgical treatment (bypass, endarterectomy, etc.).

thanks to dr Emmanuelle Berthelot, cardiologist, hospital doctor and head of a clinical unit in the cardiology department of the Bicêtre hospital in the Paris region.

Sources

Doctor gives telltale sign death was near at Queen’s latest royal appointment: ‘She made a brave face’, Dailymail, September 9, 2022

Obliterating arteriopathy, French Cardiology Association.

Screening for peripheral arterial disease, Cochrane, 2014

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