Lower extremity arterial disease (LEAD)

被引：0

作者：

Espinola-Klein, Christine ^{[1
]}

机构：

[1] Univ Med Johannes Gutenberg Univ Mainz, Zentrum Kardiol, Kardiol Angiol 3, Langenbeckstr 1, D-55131 Mainz, Germany

来源：

HERZ | 2024年 / 49卷 / 04期

关键词：

Intermittent claudication; Chronic limb-threatening ischemia; Cardiovascular prognosis; Vascular sports; Revascularization; ANKLE-BRACHIAL INDEX;

D O I：

10.1007/s00059-024-05252-3

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Peripheral arterial occlusive disease (PAOD) is a frequent manifestation of atherosclerosis with a high risk of cardiovascular events (myocardial infarction, stroke, amputation, cardiovascular death). A distinction is made between the stable form of intermittent claudication and chronic limb-threatening ischemia (CLTI, pain at rest, wounds). The most frequent risk factors are diabetes mellitus and smoking. As the disease is often asymptomatic early diagnostic necessary. Measurement of the ankle-brachial index (ABI) is suitable for screening. Consistent treatment of cardiovascular risk factors and antithrombotic medication are important. At the stage of intermittent claudication, exercise training should be performed. In CLTI early endovascular or surgical revascularization must be performed to avoid amputation of the extremity.

引用

页码：313 / 318

页数：6

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