Chronic Venous Insufficiency (CVI)

Chronic Venous Insufficiency (CVI)

Why it Matters? 

  • The US President Donald Trump has been diagnosed with Chronic Venous Insufficiency (CVI), a condition where leg veins fail to return blood to the heart, often affecting people over 70. 

What You Should Know? 

  • CVI occurs when the vein valves in the legs malfunction, leading to blood pooling and pressure buildup. 

  • It may start in one leg but can affect both, causing pain, swelling, cramps, skin changes, and even ulcers. 

  • Common causes include obesity, pregnancy, genetics, trauma, DVT (deep vein thrombosis), sedentary lifestyle, smoking, and ageing. 

  • It shares risk factors with cardiovascular disease (CVD), like diabetes, high BP, and lack of exercise, but is not the same as CVD. 

  • Research shows people with CVI have a 60% higher chance of also having severe cardiovascular disease. 

  • Diagnosis is done using a Doppler ultrasound to detect valve issues, blockages, or clots. 

  • Treatment includes medicines to improve venous function, compression stockings, lifestyle changes, laser ablation or vein glue procedures as minimally invasive options, and traditional vein ligation and stripping if necessary. 

  • Patients may be symptomatic or asymptomatic.