ITEMS IN AFP WITH KEYWORD:
Peripheral Vascular Disease
Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.
Peripheral artery disease (PAD) affects 12% to 60% of Americans 60 years and older, with significant risk factors being hypertension, diabetes mellitus, chronic kidney disease, and smoking. Intermittent claudication is the classic symptom of PAD. Resting ankle-brachial index testing can be used in patients with findings suggesting PAD. Treatment options include lifestyle modifications and prevention medications. Surgical revascularization is considered for patients not responding to treatment. Patients with acute or limb-threatening limb ischemia should see a vascular surgeon immediately.
Dec 15, 2018 Issue
Screening for Peripheral Artery Disease and Cardiovascular Disease Risk Assessment with the Ankle-Brachial Index [Putting Prevention into Practice]
Case study: A 65-year-old man presents to your office for a pre-employment physical examination. He has no concerning symptoms; his medical history reveals type 2 diabetes mellitus, which he controls through diet. He works in an office and rides his bicycle to work. He is single, an occasional smoke...
Dec 15, 2018 Issue
Screening for Peripheral Artery Disease and Cardiovascular Disease Risk Assessment with the Ankle-Brachial Index: Recommendation Statement [U.S. Preventive Services Task Force]
The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for peripheral artery disease (PAD) and cardiovascular disease (CVD) risk with the ankle-brachial index (ABI) in asymptomatic adults.
Feb 1, 2017 Issue
Peripheral Vascular Disease: Treatment in Older Adults [FPIN's Help Desk Answers]
PVD can be effectively treated with supervised exercise therapy, cilostazol, lipid-lowering therapy, and antiplatelet therapy. All of these treatments increase pain-free walking distance. Antiplatelet therapy also decreases the need for surgical revascularization. The best treatment is supervised ex...
Dec 15, 2014 Issue
Peripheral Artery Disease Screening and Cardiovascular Disease Risk Assessment With the Ankle–Brachial Index in Adults: Recommendation Statement [U.S. Preventive Services Task Force]
The U.S. Preventive Services Task Force (USPSTF) concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for peripheral artery disease (PAD) and cardiovascular disease (CVD) risk assessment with the ankle-brachial index (ABI) in adults.
Dec 15, 2014 Issue
Peripheral Artery Disease Screening and Cardiovascular Disease Risk Assessment with the Ankle-Brachial Index in Adults [Putting Prevention into Practice]
J.P. is a 40-year-old man with a 15 pack-year smoking history. His father has type 2 diabetes mellitus. J.P.'s vital signs, weight, and lipid levels are within normal limits. At his office visit, he brings an advertisement for a health fair with information on screening for peripheral artery disease...
Peripheral arterial disease (PAD) is atherosclerosis leading to narrowing of the major arteries distal to the aortic arch. The most common presenting symptom is claudication; however, only 10% of patients have classic claudication. Approximately 8 to 12 million Americans have PAD, including 15% to 2...
May 15, 2012 Issue
ACCF/AHA Update Peripheral Artery Disease Management Guideline [Practice Guidelines]
The American College of Cardiology Foundation (ACCF) and American Heart Association (AHA) have updated their 2005 guideline on the management of peripheral artery disease (PAD) based on new data, with particular focus on lower extremity and abdominal aortic disease. Recommendations for renal and mesenteric disease remain the same.
Supervised exercise programs are recommended to produce clinically significant improvements in walking distance in patients with stable intermittent claudication.