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The impact of peripheral arterial disease on patients with congestive heart failure

Amit N Keswani1, Christopher J White1

  • 1Department of Cardiology, Ochsner Clinic Foundation, Ochsner Clinical School, University of Queensland, New Orleans, LA, USA.

Heart Failure Clinics
|March 25, 2014
PubMed

Insights

Peripheral arterial disease (PAD) worsens outcomes in patients with congestive heart failure (CHF). Screening for PAD is recommended in heart failure patients with risk factors like smoking, coronary artery disease, or diabetes.

Area of Science:

  • Cardiology
  • Vascular Medicine
  • Public Health

Background:

  • Congestive heart failure (CHF) is a widespread condition with significant healthcare costs.
  • Peripheral arterial disease (PAD) frequently co-occurs with CHF, leading to poorer patient outcomes.
  • CHF and PAD share common risk factors, disease mechanisms, and treatment approaches.

Purpose of the Study:

  • To review the impact of peripheral arterial disease (PAD) on patients diagnosed with congestive heart failure (CHF).
  • To synthesize evidence from multiple studies examining the influence of PAD on CHF outcomes.

Main Methods:

  • Literature review of studies investigating the relationship between PAD and CHF.
  • Analysis of shared risk factors, pathophysiology, and prognostic features of both conditions.

Main Results:

  • Peripheral arterial disease (PAD) is associated with increased morbidity and mortality in patients with congestive heart failure (CHF).
  • Evidence supports PAD's significant influence on adverse outcomes in the CHF population.

Conclusions:

  • Patients with heart failure should be screened for PAD, particularly those with risk factors.
  • Recommended screening for PAD includes smokers and individuals with known coronary artery disease and/or diabetes.

Keywords:
Congestive heart failurePeripheral angioplastyPeripheral arterial disease

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