TY - JOUR
T1 - Peripheral artery disease
T2 - Evolving role of exercise, medical therapy, and endovascular options
AU - Olin, Jeffrey W.
AU - White, Christopher J.
AU - Armstrong, Ehrin J.
AU - Kadian-Dodov, Daniella
AU - Hiatt, William R.
N1 - Publisher Copyright:
© 2016 American College of Cardiology Foundation.
PY - 2016/3/22
Y1 - 2016/3/22
N2 - The prevalence of peripheral artery disease (PAD) continues to increase worldwide. It is important to identify patients with PAD because of the increased risk of myocardial infarction, stroke, and cardiovascular death and impaired quality of life because of a profound limitation in exercise performance and the potential to develop critical limb ischemia. Despite effective therapies to lower the cardiovascular risk and prevent progression to critical limb ischemia, patients with PAD continue to be under-recognized and undertreated. The management of PAD patients should include an exercise program, guideline-based medical therapy to lower the cardiovascular risk, and, when revascularization is indicated, an "endovascular first" approach. The indications and strategic choices for endovascular revascularization will vary depending on the clinical severity of the PAD and the anatomic distribution of the disease. In this review, we discuss an evidence-based approach to the management of patients with PAD.
AB - The prevalence of peripheral artery disease (PAD) continues to increase worldwide. It is important to identify patients with PAD because of the increased risk of myocardial infarction, stroke, and cardiovascular death and impaired quality of life because of a profound limitation in exercise performance and the potential to develop critical limb ischemia. Despite effective therapies to lower the cardiovascular risk and prevent progression to critical limb ischemia, patients with PAD continue to be under-recognized and undertreated. The management of PAD patients should include an exercise program, guideline-based medical therapy to lower the cardiovascular risk, and, when revascularization is indicated, an "endovascular first" approach. The indications and strategic choices for endovascular revascularization will vary depending on the clinical severity of the PAD and the anatomic distribution of the disease. In this review, we discuss an evidence-based approach to the management of patients with PAD.
KW - ankle-brachial index
KW - claudication
KW - drug-eluting stents
KW - endovascular therapy
KW - exercise therapy
KW - vascular diseases
UR - http://www.scopus.com/inward/record.url?scp=84962850881&partnerID=8YFLogxK
U2 - 10.1016/j.jacc.2015.12.049
DO - 10.1016/j.jacc.2015.12.049
M3 - Review article
C2 - 26988957
AN - SCOPUS:84962850881
SN - 0735-1097
VL - 67
SP - 1338
EP - 1357
JO - Journal of the American College of Cardiology
JF - Journal of the American College of Cardiology
IS - 11
ER -