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Peripheral Arterial Disease

Mansi Katkar, MD and Joseph Francis Urbanik, Doctor of Osteopathic Medicine (DO) Reviewed 06/2022
 


BASICS

DESCRIPTION

Peripheral arterial disease (PAD) represents an atherosclerotic occlusive disease of the peripheral arteries, most commonly in the lower extremities. Following coronary artery diseas...

DIAGNOSIS

HISTORY

  • 20-40% of patients will be asymptomatic  (2).

  • 10-35% of patients present with classic intermittent claudication (painful, aching, cramping, uncomfortable, or tired feeling in legs duri...

TREATMENT

GENERAL MEASURES

  • The treatment of PAD is multifactorial and includes a supervised exercise program, guideline-based medical therapy, and risk factor modification (4). Recommendations below b...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • At follow-up, patients should undergo thorough history and physical examinations. They should be asked about their progress with risk-factor modification (i.e., s...

REFERENCES

1
Gerhard-Herman MD, Gornik HL, Barrett C, et al. 2016 AHA/ACC guideline on the management of patients with lower extremity peripheral artery disease: executive summary. Circulation. 2017;13...

CODES

ICD10

  • I73.9 Peripheral vascular disease, unspecified

  • I70.209 Unsp athscl native arteries of extremities, unsp extremity

  • I70.219 Athscl native arteries of extrm w intrmt claud, unsp extrm

  • I70.229 Ath...

CLINICAL PEARLS

  • USPSTF (2018): Current evidence is insufficient to weigh harms and benefits of screening for PAD with ABI.

  • Patients who fail noninvasive therapy with a supervised exercise training pro...

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