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外周动脉疾病:诊断和医学治疗概述。

Peripheral Artery Disease: Overview of Diagnosis and Medical Therapy.

机构信息

Internal Medicine, Thomas Jefferson University Hospital, 1025 Walnut Street, Philadelphia, PA 19107, USA.

Division Vascular Medicine, Jefferson Vascular Center, Sidney Kimmel Medical College, Philadelphia, PA, USA.

出版信息

Med Clin North Am. 2023 Sep;107(5):807-822. doi: 10.1016/j.mcna.2023.05.007. Epub 2023 Jul 3.

Abstract

Peripheral artery disease (PAD) affects approximately 230 million people worldwide and is associated with an increased risk of major adverse cardiovascular and limb events. Even though this condition is considered a cardiovascular equivalent, it remains an underrecognized and undertreated entity. Antiplatelet and statin therapy, along with smoking cessation, are the foundations of therapy to reduce adverse events but are challenging to fully implement in this patient population. Race and socioeconomic status also have profound impacts on PAD outcomes.

摘要

外周动脉疾病(PAD)影响全球约 2.3 亿人,与主要不良心血管和肢体事件的风险增加相关。尽管这种情况被认为是心血管疾病的等效疾病,但它仍然是一种未被充分认识和治疗不足的疾病。抗血小板和他汀类药物治疗,以及戒烟,是减少不良事件的治疗基础,但在这一患者群体中难以完全实施。种族和社会经济地位也对外周动脉疾病的结果有深远影响。

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