• Brit J Hosp Med · Mar 2020

    Review

    Lower extremity peripheral artery disease: a basic approach.

    • Keith A Chan and Alex Junia.
    • Section of Adult Cardiology, Chong Hua Heart Institute, Cebu City, Philippines.
    • Brit J Hosp Med. 2020 Mar 2; 81 (3): 1-9.

    AbstractPeripheral artery disease of the lower limbs is a chronically progressive disorder characterised by the presence of occlusive lesions in the medium and large arteries that result in symptoms secondary to insufficient blood flow to the lower extremities. It is both a manifestation of systemic atherosclerosis and a marker of increased cardiovascular morbidity and mortality. Because of its highly heterogenous clinical picture, a detailed history and physical assessment, a high degree of suspicion for peripheral artery disease and the use of the ankle-brachial pressure index is essential to identify patients with peripheral artery disease. This will allow early administration of basic pharmacotherapy and lifestyle changes to reduce cardiovascular events, minimise claudication symptoms and enable optimal revascularisation to prevent loss of limb function.

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