Tag: High Blood Pressure and PAD

PERIPHERAL ARTERIAL DISEASE AND THE AFRICAN AMERICAN COMMUNITY: A SILENT THREAT YOU CAN NOT IGNORE

Posted on by Michael Kokinos

Introduction

Peripheral Arterial Disease (PAD) is a serious and often overlooked condition that disproportionately affects African Americans. Characterized by narrowed arteries and reduced blood flow to the legs, PAD is a major cause of disability, limb loss, and even death if left untreated. The risk of PAD in the African American community is significantly higher than in other racial or ethnic groups, making awareness, early detection, and expert care critical.

This blog will explore why PAD is more prevalent in African Americans, the specific risk factors that increase its impact, and how families can take action to prevent and treat this disease before it leads to devastating consequences.

Why PAD is More Prevalent in the African American Community

Studies show that African Americans are two to four times more likely to develop PAD than non-Hispanic white individuals. This disparity is due to a combination of genetic, socioeconomic, and lifestyle factors that increase the likelihood of vascular disease.

Key Risk Factors That Affect African Americans

 

  1. Higher Rates of Hypertension (High Blood Pressure)
    • African Americans develop high blood pressure earlier in life and with greater severity than other groups, leading to accelerated artery damage.
  2. Increased Prevalence of Diabetes
    • Diabetes is a major risk factor for PAD. African Americans are 60% more likely to be diagnosed with diabetes than non-Hispanic whites, and poorly controlled diabetes can lead to severe PAD and amputations.
  3. Higher Incidence of Chronic Kidney Disease (CKD)
    • African Americans are nearly four times more likely to develop kidney failure, which is closely linked to PAD. Poor kidney function leads to worsened arterial health and an increased risk of limb loss.
  4. Smoking and Environmental Factors
    • Smoking drastically increases the risk of PAD, and African Americans who smoke are at an even higher risk for severe, treatment-resistant PAD.
  5. Limited Access to Specialized Vascular Care
    • Many African Americans live in communities where access to vascular specialists is limited, leading to delays in diagnosis and treatment. Lack of awareness and preventive care further increases the likelihood of PAD progressing to critical limb ischemia (CLI) and amputation.

Recognizing the Signs of PAD: Don’t Ignore These Symptoms

The earlier PAD is detected, the better the chances of preventing life-altering complications. Unfortunately, many people mistake PAD symptoms for signs of aging or ignore them altogether. Here’s what to look for:

  • Leg pain, cramping, or fatigue when walking
  • Numbness, tingling, or coldness in the feet
  • Darkened or discolored skin on the legs or toes
  • Sores or wounds on the feet that won’t heal
  • Throbbing leg pain at night, a warning sign of critical limb ischemia (CLI)

If you or a loved one experiences these symptoms, don’t wait—seek medical attention immediately.

Why African American Families Must Take Action

PAD doesn’t just affect individuals—it impacts entire families. The burden of limb loss, disability, and heart disease due to PAD can have devastating emotional, financial, and social consequences.

How Families Can Help

  • Encourage Loved Ones to Get Screened – Early diagnosis is key.
  • Adopt a Heart-Healthy Diet – Traditional diets high in fried foods and processed sugars increase PAD risk.
  • Stay Physically Active – Walking can improve circulation and delay PAD progression.
  • Manage Diabetes and Blood Pressure – Keeping these conditions under control reduces PAD risk.
  • Seek Care from a Trusted Vascular Specialist – Not all doctors have the expertise needed to prevent amputations.

Why Choosing the Right Vascular Surgeon Matters

There is a huge disparity in the quality of vascular care provided to African Americans. Many patients are referred too late or receive subpar treatment at hospitals where financial motives override patient care.

Dr. Polly Kokinos and South Bay Vascular are committed to preventing unnecessary amputations by offering: ✔ Advanced, minimally invasive treatments ✔ Limb-salvage expertise ✔ Comprehensive, relationship-based patient care ✔ Immediate access to cutting-edge vascular technology

Conclusion: The Time to Act is Now

PAD is a serious yet preventable disease. African Americans are at higher risk and must be proactive about screening, lifestyle changes, and expert medical care. If you or a loved one has symptoms of PAD, don’t wait until it’s too late—schedule a consultation with Dr. Polly Kokinos today.

Your health and your future matter. Let’s work together to stop PAD in its tracks. Call our office today to schedule an appointment at 408-376-3626 if you suffer or are diagnosed with any of the conditions outlined in this office. Ask your primary care physician for a direct referral to Dr Kokinos or visit our website at www.southbayvascular.com to learn more about how we can help. 

 

“We Offer Hope When Others Say There Is None”

FACTS ABOUT PERIPHERAL ARTERIAL DISEASE (PAD) FOR AFRICAN AMERICANS

Posted on by Angelica Rodezno

One in every 20 Americans over the age of 50 has P.A.D., a condition that raises the risk for heart attack and stroke. Peripheral arterial disease, or P.A.D., develops when your arteries become clogged with plaque—fatty deposits that limit blood flow to your limbs, especially your legs. Just like clogged arteries in the heart, clogged arteries in the legs mean you are at risk for having a heart attack or stroke.

P.A.D. is more common in African Americans than any other racial or ethnic group. This may be in part because some of the conditions that raise the risk for developing P.A.D., such as diabetes and high blood pressure, are more common among African Americans.

The following article written by the US Department of Health and Human Services provides an exceptional overview of their ongoing research and findings about PAD in the African American Community. We encourage any of our patients interested in learning more about how PAD impacts this community group to click on the following link.

https://www.nhlbi.nih.gov/files/docs/public/heart/pad_extfactsheet_aa_508.pdf

Dr. Polly G Kokinos, a board certified Vascular and General Surgeon in Campbell, CA. is recognized as one of the regions foremost authorities in the diagnosis and treatment of PAD. With offices in both Campbell and Gilroy, CA. Dr. Kokinos has dedicated her 24 year career to serving the South County community as a Vascular Surgeon and is a pioneer in the evaluation and treatment of patients suffering from Peripheral Arterial Disease.

Unlike other Vascular Surgeons in the region who do their work at a local hospital or in shared facilities, Dr. Kokinos’ does her surgeries in a private, nationally accredited Vascular Surgery Center of Excellence. She focuses entirely on treating patients suffering from complex vascular disorders and unlike a traditional hospital she has the most advanced imaging and device technology available anywhere in the world. Most importantly, unlike a University or community hospitals, Dr. Kokinos’ patients experience the individualized care of “One Patient, One Doctor and One Nurse” rather than the cold, informal “production” environment of a typical hospital.

If you or anyone you love suffers from any of the conditions listed above, please call our office at 408-376-3626 or contact us to schedule an appointment. Most insurances are accepted and our staff typically can schedule an appointment within a few days for an initial consultation and non-invasive vascular ultrasound study. All ultrasound testing is done in our on-site Vascular Ultrasound Lab, The Institute for Vascular Testing making it significantly easier for our patients to be fully evaluated in a single visit and in a single facility.

South Bay Vascular Center and Vein Institute: We Offer Hope When Others Say There Is None

PERIPHERAL VASCULAR DISEASE (PVD)

Posted on by Angelica Rodezno

Peripheral vascular disease, sometimes referred to as PVD, in the legs or lower extremities is the narrowing or blockage of the vessels that carry blood from the heart to the legs.

Dr. Polyxene G Kokinos, founder of San Jose’s South Bay Vascular Center and Vein Institute is a board certified general and vascular surgeon who specializes in treating patients who suffer from this condition. For 24 years, Dr. Kokinos has dedicated her practice to helping South Bay patients regain their circulatory health by bringing advanced surgical solutions to complex vascular problems. Having treated over 20,000 Varicose Vein patients, Dr. Kokinos understands both the aesthetic as well as the complex side of her field and is recognized one of the regions most respected surgeons.

Recent advances in both imaging and medical device technology has revolutionized the practice of Vascular Surgery. Of particular interest to Dr. Kokinos is treating vessels in the deep venous systems, as well as the treatment of peripheral vascular disease. Having performed hundreds of these procedures, Dr. Kokinos has found that many of her patients, being properly treated and educated are able to make great strides to regaining their health and quality of life.

Recently, the US Centers for Disease Control and Prevention published a patient educational bulletin that Dr. Kokinos shares with her patients as part of re-educating them to live a healthier life and to recognize the symptoms of Peripheral Vascular Disease. As part of her continuing efforts to educate her patients, she wanted to share this handout, written and published by the CDC for patients following her blog to read.

Please click on the link below to receive this CDC authored bulletin in the hopes that you too can begin to live a healthier life and become aware of the signs of peripheral vascular disease.

https://www.cdc.gov/heartdisease/pad.htm?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fdhdsp%2Fdata_statistics%2Ffact_sheets%2Ffs_pad.htm

If you or anyone you know suffers from peripheral vascular disease call today to schedule an appointment at 408-376-3626.