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Suboptimal intensity of risk factor modification in PAD

School of Nursing, University of California at San Francisco, USA, roberta.oka{at}nursing.ucsf.edu

Eva Umoh

Division of Cardiovascular Medicine, Stanford University School of Medicine, CA, USA

Andrzej Szuba

Division of Cardiovascular Medicine, Stanford University School of Medicine, CA, USA

John C Giacomini

Division of Cardiovascular Medicine, Stanford University School of Medicine, CA, USA

John P Cooke

Division of Cardiovascular Medicine, Stanford University School of Medicine, CA, USA

This study extends earlier trials indicating that atherosclerosis risk factors are underdetected and undertreated in peripheral arterial disease (PAD) patients. Recognition and treatment of hyperlipidemia and hypertension in PAD patients is suboptimal. Diabetes appears to be detected more frequently although glycemic control is still suboptimal. The use of antiplatelet therapy is particularly underutilized. Additionally, despite the demonstrated efficacy of regular exercise in PAD patients, almost half of the study sample was sedentary. Approximately one third of the current study sample was overweight and nearly one third was obese by ATP-III guidelines. Only 31% of subjects were taking dietary measures to improve their cardiovascular health, and even fewer were physically active. To rectify suboptimal management of risk factors, there is a need for increased public awareness of PAD, reimbursement and implementation of screening programs and more aggressive treatment. Future studies are needed to examine innovative interventions for identification and management of cardiovascular risk factors in patients with PAD.

Key Words: atherosclerosis • peripheral arterial disease • risk factor modification

Vascular Medicine, Vol. 10, No. 2, 91-96 (2005)
DOI: 10.1191/1358863x05vm611oa


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