[Patient with lower extremity artery disease : news in therapeutic approach]
Mario Maufus1, Adriano Alatri1, Marco Fresa1
1Service d'angiologie, Département cœur-vaisseaux, CHUV, 1011 Lausanne.
Insights
The prevalence of lower extremity artery disease (LEAD) is rising, increasing risks for both limb and major cardiovascular events (MACE). New treatments show promise in reducing cardiovascular risk for high-risk patients.
Area of Science:
- Cardiology
- Vascular Medicine
- Epidemiology
Background:
- Lower extremity artery disease (LEAD) prevalence is increasing, particularly with age.
- LEAD patients face elevated risks of major adverse limb events (MALE) and major adverse cardiovascular events (MACE).
- Current medical treatments help mitigate, but do not eliminate, MACE risk in LEAD patients.
Purpose of the Study:
- To evaluate the efficacy of new therapeutic molecules in reducing cardiovascular risk in LEAD patients.
- To assess the impact of novel treatments on MACE reduction in a high-risk population.
Main Methods:
- Review of randomized controlled trials (RCTs) investigating new therapeutic molecules for LEAD.
- Analysis of cardiovascular risk reduction data in selected LEAD patient cohorts.
Main Results:
- New therapeutic molecules have demonstrated a reduction in cardiovascular risk.
- These novel treatments are effective in specific, selected patient groups with LEAD.
Conclusions:
- Novel therapeutic agents offer a promising strategy for managing cardiovascular risk in LEAD patients.
- Further research and clinical application of these molecules are warranted for high-risk individuals.
Abstract:
Prevalence of lower extremity artery disease (LEAD) is increasing with age, and there is a trend over the last decade towards an increase of LEAD patients. These patients are at increased risk of lower limb adverse event (MALE), but also at very high risk of major cardiovascular events (MACE). The best medical treatment, including medications, enable a reduction of this risk. Nevertheless, some patients will continue to develop MACE. New therapeutic molecules have been developed with randomized controlled trials, and showed a reduction of the -cardiovascular risk among these selected patients.
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