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PERIPHERAL VASCULAR DISEASE PROBLEMS IN THE AGED—CONSIDERATIONS REGARDING PREVENTION *
Author(s) -
WRIGHT IRVING S.
Publication year - 1970
Publication title -
journal of the american geriatrics society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.992
H-Index - 232
eISSN - 1532-5415
pISSN - 0002-8614
DOI - 10.1111/j.1532-5415.1970.tb02120.x
Subject(s) - medicine , hyperlipidemia , vascular disease , disease , diabetes mellitus , peripheral , preventive healthcare , intensive care medicine , disease prevention , public health , pathogenesis , obesity , physical therapy , surgery , immunology , pathology , endocrinology
A bstract : The problems of peripheral vascular disease in the aged have been greatly neglected. Preventive measures should be established in the younger years so that there will not be so much need for therapeutic attempts in old age. The chief cause of peripheral vascular disease in the elderly is atherothrombosis, with elements of both atherosclerosis and thrombosis. The study of these two elements should not be conducted in strictly separate categories, as at present. Robertson's theory of the pathogenesis is described, including the cellular and biochemical influences. The genetic element is emphasized in the concept of susceptible atherophils versus resistant atherophils in relation to elevated blood lipid levels. Prevention involves anti‐obesity dietary measures, appropriate exercise, and the avoidance of smoking. If hypertension, hyperlipidemia or hyperglycemia (diabetes) develop, early detection and treatment are important. Patients with peripheral vascular disease should avoid extremes of cold or heat and pay special attention to cleanliness of the feet. Even though all the etiologic factors in the disease are not known, it is essential to apply all the available preventive measures. Such a program requires improved education of the medical and associated professions, as well as of the lay public.