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Chapter 14 - Peripheral artery disease in the elderly

from Section III - Care of the elderly by organ system

Published online by Cambridge University Press:  05 June 2016

By
Belinda J. Parmenter ,
Christopher D. Askew  and
Jonathan Golledge
Edited by
Jan Busby-Whitehead ,
Christine Arenson ,
Samuel C. Durso ,
Daniel Swagerty ,
Laura Mosqueda ,
Maria Fiatarone Singh  and
William Reichel
Jan Busby-Whitehead
Affiliation:
University of North Carolina
Christine Arenson
Affiliation:
Thomas Jefferson University, Philadelphia
Samuel C. Durso
Affiliation:
The Johns Hopkins University School of Medicine
Daniel Swagerty
Affiliation:
University of Kansas
Laura Mosqueda
Affiliation:
University of Southern California
Maria Fiatarone Singh
Affiliation:
University of Sydney
William Reichel
Affiliation:
Georgetown University, Washington DC
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Summary

Peripheral artery disease (PAD) is an atherosclerotic disease of the lower extremity arteries causing obstruction of blood flow to the legs. The prevalence of PAD increases with age, and while some patients with PAD remain asymptomatic, others develop the debilitating symptom of intermittent claudication (pain on walking), or critical limb ischemia, where the blood supply is so poor that limb viability is threatened. Other atherosclerotic diseases may coexist with PAD, particularly coronary artery disease. As these two diseases share risk factors, modifiable factors such as smoking, hypertension, dyslipidemia, and diabetes should be managed. Medical management of PAD based on the latest clinical evidence includes exercise and pharmaceutical therapy initially; however, in some cases lower extremity angioplasty (stenting or bypass surgery) may be warranted.
Type
Chapter
Information
Reichel's Care of the Elderly
Clinical Aspects of Aging
 , pp. 192 - 202
Publisher: Cambridge University Press
Print publication year: 2016

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References

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