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Published on: September 22, 2020
Peripheral arterial disease. A marker of morbidity and mortality
Daniel G Federman1, Jeffrey D Kravetz, Dawn M Bravata
1Yale University School of Medicine, New Haven, Connecticut, USA. daniel.federman@va.gov
Insights
Peripheral arterial disease (PAD) affects leg arteries due to atherosclerosis. Early detection and treatment are vital for preventing serious cardiovascular events and death.
Area of Science:
- Vascular Medicine
- Cardiovascular Disease
- Atherosclerosis Research
Background:
- Peripheral arterial disease (PAD) is a widespread manifestation of systemic atherosclerosis.
- PAD significantly increases the risk of major adverse cardiovascular events, including stroke, myocardial infarction, and mortality.
- Many cases of PAD remain asymptomatic, leading to underdiagnosis and undertreatment.
Purpose of the Study:
- To enhance awareness of symptomatic and asymptomatic peripheral arterial disease.
- To highlight the importance of screening at-risk populations for PAD.
- To provide a comprehensive overview of PAD diagnosis and management.
Main Methods:
- Review of current medical literature on peripheral arterial disease.
- Analysis of diagnostic criteria and testing modalities for PAD.
- Evaluation of established and emerging therapeutic strategies for PAD.
Main Results:
- PAD is a critical indicator of generalized atherosclerotic disease.
- Screening identifies patients at high risk for life-threatening cardiovascular and cerebrovascular events.
- A multi-faceted approach involving symptom recognition, diagnostic testing, and timely therapy is essential.
Conclusions:
- Increased clinical vigilance for PAD is crucial for early identification.
- Prompt diagnosis and intervention in PAD can mitigate significant morbidity and mortality.
- Addressing PAD is key to managing the broader spectrum of atherosclerotic disease.
Abstract:
Peripheral arterial disease of the lower extremities is a common manifestation of the atherosclerotic process. A heightened awareness of symptomatic and asymptomatic disease, as well as screening of at-risk patients, is imperative because of the increased risk of cardiovascular disease, cerebrovascular disease, and even death. This article describes the various symptoms, diagnostic tests, and therapies for this common, underdiagnosed, undertreated disease.
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