Peripheral Artery Disease

被引：206

作者：

Kullo, Iftikhar J. ^{[1
]}

Rooke, Thom W.

机构：

[1] Mayo Clin, Div Cardiovasc Dis, 200 First St SW, Rochester, MN 55905 USA

来源：

NEW ENGLAND JOURNAL OF MEDICINE | 2016年 / 374卷 / 09期

基金：

美国国家卫生研究院;

关键词：

ANKLE-BRACHIAL INDEX; CARDIOVASCULAR EVENTS; LOWER-EXTREMITY; TASK-FORCE; SUPERVISED EXERCISE; PRACTICE GUIDELINES; RISK-FACTORS; MANAGEMENT; REVASCULARIZATION; PREVALENCE;

D O I：

10.1056/NEJMcp1507631

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 61-year-old woman presents with a 3-year history of discomfort in the right thigh on exertion. Her symptoms have recently progressed to involve the right calf. She is able to walk no more than 50 m before having to stop because of leg pain. Her medical history is notable for coronary-artery bypass surgery after a myocardial infarction at 55 years of age and for hyperlipidemia, for which she takes atorvastatin at a dose of 40 mg daily. She has a smoking history of 50 pack-years and currently smokes eight cigarettes per day. On examination, the blood pressure is 126/82 mm Hg, there is a bruit over the right femoral artery, and pulses are diminished in the right leg. How would you evaluate and manage this case?

引用

页码：861 / 871

页数：11

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