Peripheral arterial disease epidemiology and demographics

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Differentiating Peripheral arterial disease from other Diseases

Epidemiology and Demographics

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Case #1

AHA/ACC Guidelines on Management of Lower Extremity PAD

Guidelines for Clinical Assessment of Lower Extremity PAD

Guidelines for Diagnostic Testing for suspected PAD

Guidelines for Screening for Atherosclerotic Disease in Other Vascular Beds in patients with Lower Extremity PAD

Guidelines for Medical Therapy for Lower Extremity PAD

Guidelines for Structured Exercise Therapy for Lower Extremity PAD

Guidelines for Minimizing Tissue Loss in Lower Extremity PAD

Guidelines for Revascularization of Claudication in Lower Extremity PAD

Guidelines for Management of CLI in Lower Extremity PAD

Guidelines for Management of Acute Limb Ischemial in Lower Extremity PAD

Guidelines for Longitudinal Follow-up for Lower Extremity PAD

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Editors-in-Chief: C. Michael Gibson; Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [1]; Rim Halaby

Overview

The prevalence of peripheral arterial disease varies considerably depending on the definition of PAD as well as on the age of the studied population. The overall prevalence of peripheral arterial disease in the general population is 12–14%. The prevalence of PAD is higher in the elderly and affects up to 20% of patients over the age of 70 years.

Epidemiology and Demographics

  • The overall prevalence of peripheral vascular disease in the general population is 12–14%, affecting up to 20% of those over 70.[1][2]
  • The incidence of symptomatic disease increases with age. It starts at about 0.3% per year for men aged 40–55 years and some studies have shown it to rise to about 1% per year for male patients aolder than 75 years.[3][4]
  • 70%–80% of the patients are asymptomatic and very few patients will ever require revascularisation or amputation.
  • Peripheral vascular disease affects 1 in 3 diabetics older than 50.[5]
  • Approximately 6.5 million people in America have PVD.[6] Despite its prevalence and cardiovascular risk implications, only 25 percent of PAD patients are undergoing treatment.[7]

References

  1. Shammas NW (2007). "Epidemiology, classification, and modifiable risk factors of peripheral arterial disease". Vascular Health and Risk Management. 3 (2): 229–34. PMC 1994028. PMID 17580733.
  2. Sarangi S, Srikant B, Rao DV, Joshi L, Usha G (2012). "Correlation between peripheral arterial disease and coronary artery disease using ankle brachial index-a study in Indian population". Indian Heart J. 64 (1): 2–6. doi:10.1016/S0019-4832(12)60002-9. PMC 3860717. PMID 22572416.
  3. "Peripheral arterial disease prevention and prevalence". Peripheral Arterial Disease. 2007. Retrieved 2007-12-03. Unknown parameter |publsiher= ignored (|publisher= suggested) (help); Unknown parameter |month= ignored (help)
  4. Norman PE, Eikelboom JW, Hankey GJ (2004). "Peripheral arterial disease: prognostic significance and prevention of atherothrombotic complications". Med J Aust. 181 (3): 150–4. PMID 15287833.
  5. Thiruvoipati T, Kielhorn CE, Armstrong EJ (2015). "Peripheral artery disease in patients with diabetes: Epidemiology, mechanisms, and outcomes". World J Diabetes. 6 (7): 961–9. doi:10.4239/wjd.v6.i7.961. PMC 4499529. PMID 26185603.
  6. Virani SS, Alonso A, Benjamin EJ, Bittencourt MS, Callaway CW, Carson AP; et al. (2020). "Heart Disease and Stroke Statistics-2020 Update: A Report From the American Heart Association". Circulation. 141 (9): e139–e596. doi:10.1161/CIR.0000000000000757. PMID 31992061.
  7. Gardner AW, Afaq A (2008). "Management of lower extremity peripheral arterial disease". J Cardiopulm Rehabil Prev. 28 (6): 349–57. doi:10.1097/HCR.0b013e31818c3b96. PMC 2743684. PMID 19008688.


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