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Is CVI a PVD?

Published in Vascular Disease 2 mins read

Yes, chronic venous insufficiency (CVI) is a form of peripheral vascular disease (PVD). It specifically affects the veins in the legs, which are part of the peripheral vascular system.

Understanding CVI and PVD

  • Peripheral Vascular Disease (PVD): This is a broad term referring to diseases of the blood vessels (arteries and veins) located outside the heart and brain. PVD most commonly affects the legs and feet.

  • Chronic Venous Insufficiency (CVI): This condition occurs when the valves in the veins of the legs don't function properly, preventing blood from flowing back to the heart efficiently. This leads to blood pooling in the veins, causing symptoms such as:

    • Varicose veins
    • Leg swelling (edema)
    • Skin changes (e.g., discoloration, thickening)
    • Leg pain or heaviness
    • Ulcers (in severe cases)

Why CVI is Considered PVD

Because CVI involves the veins of the peripheral vascular system and impacts blood flow in the extremities, it is categorized as a type of PVD. While PVD often refers to arterial disease (peripheral artery disease, PAD), venous diseases like CVI also fall under this broader umbrella.

Key Differences Between Arterial and Venous PVD

While both PAD and CVI are types of PVD, they involve different types of blood vessels and have different causes and symptoms:

Feature Peripheral Artery Disease (PAD) Chronic Venous Insufficiency (CVI)
Vessels Affected Arteries Veins
Primary Cause Atherosclerosis (plaque buildup) Valve dysfunction
Common Symptoms Leg pain with exercise (claudication), cold feet, sores that don't heal Varicose veins, leg swelling, skin changes

In summary, CVI is a specific type of PVD characterized by malfunctioning valves in the leg veins, leading to impaired blood flow back to the heart.

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