Open AccessPeripheral Arterial Disease: Medical Care and Prevention of Complications
Author(s) -
Dawson David L.,
Hiatt William R.,
Creager Mark A.,
Hirsch Alan T.
Publication year - 2002
Publication title -
preventive cardiology
Language(s) - English
Resource type - Journals
eISSN - 1751-7141
pISSN - 1520-037X
DOI - 10.1111/j.1520-037x.2002.00558.x
Subject(s) - medicine , arterial disease , claudication , intermittent claudication , peripheral , myocardial infarction , disease , stroke (engine) , cardiology , pharmacotherapy , quality of life (healthcare) , critical limb ischemia , vascular disease , intensive care medicine , physical therapy , mechanical engineering , nursing , engineering
Peripheral arterial disease (PAD) is a common but under‐recognized problem affecting older patients. Intermittent claudication is the most frequent symptom of PAD, although the diagnosis of PAD is often overlooked until the patient presents with limb‐threatening ischemia. Importantly, PAD is a marker for generalized atherosclerosis and is closely associated with coronary and cerebrovascular disease. The severity of PAD has been correlated with an increased risk of myocardial infarction, stroke, and cardiovascular death. The recognition and diagnosis of PAD, combined with its appropriate medical management, may well reduce the overall risk of cardiovascular morbidity. When diagnosed early, both exercise and pharmacotherapy can ameliorate symptoms of claudication, augment functional performance, and improve quality of life.