EM1806E "Peripheral Artery Disease (PAD): Current Insights into the Disease, its Diagnosis and Management." (IM GR-060118)
PAD is common, however often underrecognized. It is an important cause of morbidity particularly in older adults, those with diabetes mellitus, and smokers. Risk factors for PAD are similar to the risk factors of atherosclerosis elsewhere and modification of these risks is key to successful management of PAD. Intermittent claudication (IC) is a classic symptom of PAD, but the vast majority of patients remain asymptomatic. PAD in patients with certain high risk features can be diagnosed by an abnormal ankle-brachial index (ABI) value. Other manifestations of PAD include critical (CLI) and acute (ALI) limb ischemia. Progression from IC to CLI is rare and prophylactic revascularization to prevent such progression is not indicated. Treatment of IC includes enrollment in a supervised walking program, use of cilostazol and, for select patients, percutaneous or surgical revascularization. Management of PAD requires an interdisciplinary team including a primary care provider.
UT Southwestern faculty, fellows, residents and medical students, community physicians, nurse clinicians, physician assistants and nurses.
At the conclusion of this activity, the participant should be able to:
- Appreciate the risk factors and prevalence of PAD and its relationship to cardiovascular disease.
- Understand and perform an ABI test for diagnosing PAD in appropriate patients.
- Comprehend various clinical presentations of PAD.
- Gain knowledge regarding the medical management and indications for revascularization (endovascular or surgical) of PAD and when this approach should be employed.
Subhash Banerjee, M.D., FACC, FSCAI
Professor of Internal Medicine, UT Southwestern Medical Center
Chief, Division of Cardiology, VA North Texas Health Care System
Director, Cardiac Catheterization Laboratories, VA North Texas Health Care System
- 1.00 AMA