[Approach to peripheral arterial disease in the elderly]
Ozan Onur Balkanay1, Suat Nail Ömeroğlu
1Department of Cardiovascular Surgery, İstanbul University Cerrahpaşa Faculty of Medicine, İstanbul, Turkey. balkanay@doctor.com.
Summary
Peripheral arterial disease (PAD) prevalence increases with age, posing higher risks for elderly patients. Early diagnosis and risk factor modification are key to improving survival rates and managing symptoms.
Area of Science:
- Vascular Medicine
- Geriatrics
- Cardiovascular Disease
Background:
- Peripheral arterial disease (PAD), often due to atherosclerosis, is increasingly prevalent in aging populations.
- Elderly patients with PAD face higher risks of mortality and concurrent cardiovascular events.
- Immobility can mask PAD symptoms in older adults, complicating diagnosis.
Purpose of the Study:
- To summarize the diagnosis and management of peripheral arterial disease in the elderly.
- To highlight the importance of risk factor modification and tailored treatment strategies.
- To improve clinical outcomes and survival rates for elderly PAD patients.
Main Methods:
- Literature review focusing on PAD in elderly patients.
- Analysis of diagnostic criteria, including ankle-brachial systolic pressure index (ABPI).
- Summary of current treatment guidelines and therapeutic interventions.
Main Results:
- PAD diagnosis relies on clinical symptoms and ABPI < 0.9.
- Risk factors include advanced age, smoking, diabetes, hypertension, and hyperlipidemia.
- Treatment involves risk factor modification, medication (statins, ACE inhibitors, antiplatelets), exercise, and revascularization when necessary.
Conclusions:
- Management of PAD in the elderly requires a comprehensive approach addressing risk factors and symptoms.
- Treatment decisions must be individualized based on patient condition and goals.
- Effective management can improve quality of life and potentially increase life expectancy.
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