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Computerized Dynamic Posturography for Postural Control Assessment in Patients with Intermittent Claudication
Published on: December 11, 2013
Management of patients with intermittent claudication
1Vascular Medicine Programme, Mount Sinai School of Medicine, The Zena and Michael A Wiener Cardiovascular Institute, New York, NY 10029-6574, USA.
Peripheral arterial disease (PAD) causes leg pain during exercise. Prompt diagnosis and management, including exercise, risk factor reduction, and medications like cilostazol or aspirin, are vital for improving outcomes and preventing cardiovascular events.
Area of Science:
- Vascular Medicine
- Cardiovascular Disease Management
Background:
- Intermittent claudication is the primary symptom of peripheral arterial disease (PAD).
- PAD is linked to increased cardiovascular morbidity and mortality.
- Early diagnosis and intervention are critical for patient outcomes.
Purpose of the Study:
- To outline the diagnostic and management strategies for intermittent claudication.
- To emphasize the importance of addressing cardiovascular risk factors in PAD patients.
Main Methods:
- Review of current therapeutic approaches for intermittent claudication.
- Discussion of pharmacological treatments including anticlaudicants and antiplatelet agents.
- Consideration of revascularisation procedures for severe cases.
Main Results:
- Structured exercise and cardiovascular risk factor reduction are foundational therapies.
- Pharmacological options include anticlaudicants (cilostazol, pentoxifylline) and antiplatelet agents (aspirin, clopidogrel).
- Revascularisation is reserved for limb-threatening or severely disabling disease.
Conclusions:
- Comprehensive management of intermittent claudication involves lifestyle changes, risk factor modification, and targeted pharmacotherapy.
- Prompt and appropriate treatment can mitigate the risks associated with PAD and improve quality of life.
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