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Peripheral arterial disease - diagnosis and management in general practice


AU, TB and Golledge, J and Walker, PJ and Haigh, K and Nelson, M, Peripheral arterial disease - diagnosis and management in general practice, Australian Family Physician, 42, (6) pp. 397-400. ISSN 0300-8495 (2013) [Contribution to Refereed Journal]

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Copyright 2013 The Royal Australian College of General Practitioners

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Background: Peripheral arterial disease (PAD) is a manifestation of systemic atherosclerosis. It affects 10-15% of the general population, and is often asymptomatic; leading to under-diagnosis and under-treatment. Atherosclerotic risk factors are often not intensively managed in PAD patients.

Objective: To summarise the information around the diagnosis and management of PAD in the general practice setting.

Discussion: Careful history, clinical examination, and measurement of ankle-brachial index remain the initial means of diagnosing PAD. More detailed anatomic information from duplex imaging, computed tomography angiography and magnetic resonance angiography, is usually unnecessary unless endovascular or surgical intervention is being considered, or if abdominal aortic aneurysm or popliteal aneurysm need to be excluded. Management is focused on lifestyle modification, including smoking cessation and exercise; medical management of atherosclerotic risk factors, including antiplatelet agents, statins, antihypertensive therapy; and agents to improve walking distance, such as cilostazol and ramipril. Endovascular or surgical interventions are usually considered for lifestyle limiting intermittent claudication not responding to conservative therapies, and for critical limb ischaemia.

Item Details

Item Type:Contribution to Refereed Journal
Keywords:peripheral arterial disease,; risk factors, health behaviour, risk reduction behaviour
Research Division:Health Sciences
Research Group:Health services and systems
Research Field:Primary health care
Objective Division:Health
Objective Group:Clinical health
Objective Field:Clinical health not elsewhere classified
UTAS Author:AU, TB (Dr Thuy Au)
UTAS Author:Nelson, M (Professor Mark Nelson)
ID Code:85463
Year Published:2013
Web of Science® Times Cited:21
Deposited By:Medicine
Deposited On:2013-07-09
Last Modified:2014-06-13

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