Referral, Diagnosis, and Pharmacological Management of Peripheral Artery Disease: Perspectives from Taiwan

被引：8

作者：

Lee, Jen-Kuang ^{[1
]}

Hsieh, I-Chang ^{[2
]}

Su, Chun-Hung ^{[3
]}

Huang, Hsuan-Li ^{[4
]}

Lei, Meng-Huan ^{[5
]}

Chiu, Kuan-Ming ^{[6
]}

Huang, Chien-Lung ^{[7
]}

Chen, Chun-Chi ^{[2
]}

Hsu, Po-Chao ^{[8
,9
]}

Hsu, Chung-Ho ^{[10
]}

Huang, Chun-Yao ^{[11
]}

Lee, Cheng-Han ^{[12
]}

Chang, Wei-Chun ^{[13
]}

Lee, Hsin-Fu ^{[2
]}

Liu, Ju-Chi ^{[14
]}

Yeh, Hung-, I ^{[15
]}

机构：

[1] Natl Taiwan Univ Hosp, Div Cardiol, Dept Internal Med, Taipei, Taiwan

[2] Chuang Gung Univ, Chang Gung Mem Hosp, Div Cardiol, Dept Internal Med,Coll Med, Taoyuan, Taiwan

[3] Chung Shan Med Univ Hosp, Div Cardiol, Dept Internal Med, Taichung, Taiwan

[4] Taipei Tzu Chi Hosp, Div Cardiol, Dept Internal Med, Buddhist Tzu Chi Med Fdn, Taipei, Taiwan

[5] Lotung Poh Ai Hosp, Div Cardiol, Dept Internal Med, Yilan, Taiwan

[6] Far Eastern Mem Hosp, Div Cardiovasc Surg, Ctr Cardiovasc, New Taipei, Taiwan

[7] Cheng Hsin Gen Hosp, Div Cardiol, Ctr Heart, Taipei, Taiwan

[8] Kaohsiung Med Univ Hosp, Div Cardiol, Dept Internal Med, Kaohsiung, Taiwan

[9] Kaohsiung Med Univ, Coll Med, Kaohsiung, Taiwan

[10] China Med Univ Hosp, Div Cardiol, Taichung, Taiwan

[11] Taipei Med Univ Hosp, Div Cardiol, Taipei, Taiwan

[12] Natl Cheng Kung Univ, Natl Cheng Kung Univ Hosp, Dept Cardiol, Coll Med, Tainan, Taiwan

[13] Taichung Vet Gen Hosp, Div Intervent Cardiol, Ctr Cardiovasc, Taichung, Taiwan

[14] Taipei Med Univ, Shuang Ho Hosp, Div Cardiol, Dept Internal Med, Taipei, Taiwan

[15] MacKay Mem Hosp, Dept Internal Med, MacKay Med Coll, Div Cardiovasc, New Taipei, Taiwan

来源：

ACTA CARDIOLOGICA SINICA | 2023年 / 39卷 / 01期

关键词：

Antiplatelet therapy; Peripheral artery disease; Pharmacotherapy; Practice guidelines Taiwan; ANTITHROMBOTIC THERAPY; ENDOVASCULAR THERAPY; RISK-FACTORS; EVENT RATES; RIVAROXABAN; OUTCOMES; ASPIRIN; REVASCULARIZATION; OUTPATIENTS; PREVALENCE;

D O I：

10.6515/ACS.202301_39(1).20220815A

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Peripheral artery disease (PAD) imposes a heavy burden of major adverse cardiovascular events that are associated with considerable mortality and morbidity, and major adverse limb events (e.g., thrombectomy, revascularization, amputation) that can substantially impact patients' daily functioning and quality of life. Global registry data have indicated that PAD is an underdiagnosed disease in Taiwan, and its associated risk factors remain inadequately controlled. This review discusses the burden of PAD in Taiwan, major guidelines on PAD management, and the latest clinical trial outcomes. Practical experience, opinions, and the latest trial data were integrated to derive a series of clinical algorithms - patient referral, PAD diagnosis, and the antithrombotic management of PAD. These algorithms can be adapted not only by physicians in Taiwan involved in the clinical management of patients with PAD but also by general practitioners in local clinics and regional hospital settings, with the ultimate aim of improving the totality of PAD patient care in Taiwan.

引用

页码：97 / 108

页数：12

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