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How to manage peripheral artery disease

How to manage peripheral artery disease

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How to manage peripheral artery disease

According to the recent guidelines, the most important ways for the therapeutic management of lower limb peripheral artery disease are:

  • Smoking cessation.
  • Management of diabetes to reduce chronic blood sugar elevation.
  • Aggressively treat hypertension to be less than 130/80 mm Hg
  • Manage elevated lipids (especially LDL cholesterol and triglycerides).
  • Treat depression, which is often present in such patients.
  • Strongly encourage avoidance of highly processed food.

Pharmaceutical management include antiplatelet therapy (aspirin), which in selected cases may be accompanied with antithrombotics (rivaroxaban 2.5mg twice daily). Statins (atorvastatin or rosuvastatin) should be included.

Revascularization procedures should be reserved only in carefully selected cases of persistent claudication or for limb-preservation.

The most benefit in the management of peripheral artery disease is gained by regular physical activity. A graduated exercise program (walking) improves blood supply to the lower extremities, and substantially enhances functional capacity as well as the quality of life.

Reference:
Guideline for the Management of Lower Extremity Peripheral Artery Disease: A Report of the American
College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines.
Circulation 2024, May 14.

Dr Yiannis Panayiotides


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Είναι αδύνατο να ξέρει την ιατρική, αυτός που δεν ξέρει ακριβώς τι είναι ο άνθρωπος. ΙΠΠΟΚΡΑΤΗΣ




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Copyright by Dr Yiannis Panayiotides 2018. All rights reserved.



Copyright by Dr Yiannis Panayiotides 2018. All rights reserved.