Scope of Problem

Atherosclerosis is most common cause of PAD but other causes are well recognized and need to be kept in mind in suspected PAD patients. PAD carries a significant morbidity and mortality and is a leading cause of surgical amputations.

Risk Factors for PAD

Peripheral arterial disease is a multi factorial disease and usually multiple factors come in to play. A few of them can be modified like weight, cholesterol control & smoking. Rest can not be modified like age, race & gender.

  • Increasing age
  • Male gender (risk in women is same after menopause)
  • Smoking
  • African American & Hispanic races
  • High Cholesterol
  • High Blood Pressure
  • Diabetes mellitus
  • Chronic Kidney disease

What Causes PAD

Atherosclerosis is most common cause of PAD but other causes are well recognized and need to be kept in mind in suspected PAD patients.

  • Atherosclerosis, most common cause of PAD
  • Fibromuscular dysplasia
  • Inflammation of arteries mostly called Vasculitis
  • Buerger's Disease
  • Arterial entrapment
  • Endofibrosis

Management of PAD without Surgery

Nearly 90% of PAD patients can be stabilized avoiding the need for surgery or intervention, if appropriate care is started early and patient follows the medical instructions and is on appropriate medications

  • Smoke cessation
  • Blood glucose control
  • Aggressive cholesterol management
  • Anti-platelet medications like Aspirin or Clopidogrel
  • Blood pressure control
  • Weight management
  • Supervised walking therapy
  • Vasodilators like Cilostazol.

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