Peripheral artery disease: Evolving role of exercise, medical therapy, and endovascular options

Jeffrey W. Olin; Christopher J. White; Ehrin J. Armstrong; Daniella Kadian-Dodov; William R. Hiatt

doi:10.1016/j.jacc.2015.12.049

Peripheral artery disease: Evolving role of exercise, medical therapy, and endovascular options

Jeffrey W. Olin, Christopher J. White, Ehrin J. Armstrong, Daniella Kadian-Dodov, William R. Hiatt

Research output: Contribution to journal › Review article › peer-review

102 Scopus citations

Abstract

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.

Original language	English (US)
Pages (from-to)	1338-1357
Number of pages	20
Journal	Journal of the American College of Cardiology
Volume	67
Issue number	11
DOIs	https://doi.org/10.1016/j.jacc.2015.12.049
State	Published - Mar 22 2016
Externally published	Yes

Keywords

ankle-brachial index
claudication
drug-eluting stents
endovascular therapy
exercise therapy
vascular diseases

ASJC Scopus subject areas

Medicine(all)
Cardiology and Cardiovascular Medicine

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10.1016/j.jacc.2015.12.049

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Peripheral artery disease : Evolving role of exercise, medical therapy, and endovascular options. / Olin, Jeffrey W.; White, Christopher J.; Armstrong, Ehrin J.; Kadian-Dodov, Daniella; Hiatt, William R.

In: Journal of the American College of Cardiology, Vol. 67, No. 11, 22.03.2016, p. 1338-1357.

Research output: Contribution to journal › Review article › peer-review

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AU - White, Christopher J.

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AU - Kadian-Dodov, Daniella

AU - Hiatt, William R.

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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.

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Peripheral artery disease: Evolving role of exercise, medical therapy, and endovascular options

Abstract

Keywords

ASJC Scopus subject areas

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