Peripheral arterial disease

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In medicine, peripheral arterial disease (peripheral artery disease; PAD) is a form of arterial occlusive disease. More specifically, PAD is arteriosclerosis in the arteries of the lower extremities usually from atherosclerosis.

Diagnosis

Physical examination

On physical examination, the ankle brachial index (ABI) can be estimated by either auscultaton[1] of palpation.

Treatment

Surgery may hasten improvement as compared to a supervised exercise program.[2]

Prognosis

The Revised Cardiac Risk Index may predict short and long term complications among patients undergoing surgery for peripheral arterial disease.[3]

References

  1. Carmo GA, Mandil A, Nascimento BR, Arantes BD, Bittencourt JC, Falqueto EB et al. (2009). "Can we measure the ankle-brachial index using only a stethoscope? A pilot study.". Fam Pract 26 (1): 22-6. DOI:10.1093/fampra/cmn086. PMID 19022870. Research Blogging.
  2. Spronk S, Bosch JL, den Hoed PT, Veen HF, Pattynama PM, Hunink MG (February 2009). "Intermittent claudication: clinical effectiveness of endovascular revascularization versus supervised hospital-based exercise training--randomized controlled trial". Radiology 250 (2): 586–95. DOI:10.1148/radiol.2501080607. PMID 19188327. Research Blogging.
  3. Hoeks SE, op Reimer WJ, van Gestel YR, et al. (June 2009). "Preoperative cardiac risk index predicts long-term mortality and health status". Am. J. Med. 122 (6): 559–65. DOI:10.1016/j.amjmed.2008.10.041. PMID 19376487. Research Blogging.