Peripheral arterial disease - diagnosis and management in general practice.
Aust Fam Physician
; 42(6): 397-400, 2013 Jun.
Article
em En
| MEDLINE
| ID: mdl-23781547
ABSTRACT
BACKGROUND:
Peripheral arterial disease (PAD) is a manifestation of systemic atherosclerosis. It affects 10-15% of the general population, and is often asymptomatic; leading to under-diagnosis and under-treatment. Atherosclerotic risk factors are often not intensively managed in PAD patients.OBJECTIVE:
To summarise the information around the diagnosis and management of PAD in the general practice setting.DISCUSSION:
Careful history, clinical examination, and measurement of ankle-brachial index remain the initial means of diagnosing PAD. More detailed anatomic information from duplex imaging, computed tomography angiography and magnetic resonance angiography, is usually unnecessary unless endovascular or surgical intervention is being considered, or if abdominal aortic aneurysm or popliteal aneurysm need to be excluded. Management is focused on lifestyle modification, including smoking cessation and exercise; medical management of atherosclerotic risk factors, including antiplatelet agents, statins, antihypertensive therapy; and agents to improve walking distance, such as cilostazol and ramipril. Endovascular or surgical interventions are usually considered for lifestyle limiting intermittent claudication not responding to conservative therapies, and for critical limb ischaemia.
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Base de dados:
MEDLINE
Assunto principal:
Doença Arterial Periférica
Idioma:
En
Ano de publicação:
2013
Tipo de documento:
Article