Atherosclerotic obstruction of peripheral arteries.
Clinical features
- • Intermittent claudication
- • Rest pain, ulceration, gangrene (critical limb ischaemia)
Investigations
- • ABI (<0.9 = PAD; >1.3 = calcification)
- • Duplex, CT/MR angiogram
Management
- • Aggressive risk factor modification
- • Supervised exercise program
- • Antiplatelet (aspirin or clopidogrel) + statin
- • Cilostazol for claudication (contraindicated in HF)
- • Revascularisation for CLI
Related in WardRound
Educational — verify locally.
