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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 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 Group:||Clinical health|
|Objective Field:||Clinical health not elsewhere classified|
|UTAS Author:||AU, TB (Dr Thuy Au)|
|UTAS Author:||Nelson, M (Professor Mark Nelson)|
|Web of Science® Times Cited:||21|
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