A 68-year-old man is evaluated for a 6-month history of intermittent claudication. His symptoms have been slowly progressive but are not life limiting. Medical history is significant for hypertension, hyperlipidemia, and carotid artery stenosis treated with left carotid endarterectomy. He is a former smoker but quit 10 years ago. Following a physical exam and lab studies, what is the most appropriate treatment to reduce this patient's cardiovascular risk?
23 Aug 2022
Despite poor awareness and a lack of training on handling peripheral artery disease, internists can and should be able to recognize the symptoms and manage 95% of cases. Experts advise how to diagnose and treat the condition.
1 Apr 2011
A 68-year-old man is evaluated during a routine follow-up visit. Medical history is significant for type 2 diabetes mellitus, hyperlipidemia, hypertension, and aortofemoral bypass surgery 2 years ago. Following a physical exam, what is the most appropriate additional treatment?
15 Nov 2022
Home-based, physical therapist-led behavior change program boosted walking distance in patients with PAD
The randomized trial, which connected patients with intermittent claudication due to peripheral artery disease (PAD) with physical therapists, found an increase in mean six-minute walk distance but no improvement in patient-reported quality of life.
19 Apr 2022
This update covers approval of a new drug to treat type 2 diabetes mellitus, along with diet and exercise, and of a drug to reduce risk of heart attack, stroke, cardiovascular death, and need for revascularization in patients with a previous heart attack or peripheral artery disease.
1 Jul 2014
A randomized double-blind trial compared the angiotensin-receptor blocker with placebo in patients with peripheral artery disease (PAD) and found no difference in six-minute walk distance over six months.
11 Oct 2022
Peripheral artery disease is a common, and significant, problem estimated to affect up to 12% of people in the United States.
1 Apr 2011
A randomized trial found that patients with peripheral artery disease (PAD) assigned to high-intensity walking significantly improved their distances on the 6-minute walk test at 12-month follow-up, while those in a low-intensity group did not.
13 Apr 2021
A 57-year-old man is evaluated during follow-up for stable chronic kidney disease diagnosed 1 year ago. He also has type 2 diabetes mellitus, hyperlipidemia, and peripheral artery disease. On physical examination, blood pressure is 128/74 mm Hg, pulse rate is 65/min, and respiration rate is 18/min. Bilateral carotid and lower abdominal quadrant bruits are heard. Peripheral extremity pulses are diminished. The remainder of the examination is normal. After laboratory studies, what is the appropriate management?
9 Nov 2021
A reader responds about physical exams for PAD.
1 May 2011