- 87 Downloads
Intermittent claudication is a classic symptom of peripheral artery disease. A detailed history and physical exam are essential to rule out other causes of lower extremity pain which mimic claudication. The ankle brachial index is the best initial diagnostic test of choice. Conservative management using a supervised exercise program and antiplatelet agents remain the primary treatment of choice for peripheral artery disease.
KeywordsClaudication Ankle-brachial index ABI Supervised exercise program Peripheral artery disease
- 1.Gerhard-Herman MD, Gornik HL, Barrett C, Barshes NR, Corriere MA, Drachman DE, et al. 2016 AHA/ACC guideline on the management of patients with lower extremity peripheral artery disease: a report of the American College of Cardiology/American Heart Association Task Force on clinical practice guidelines. Circulation. 2017;135(12):e726–e79.PubMedPubMedCentralGoogle Scholar
- 2.Conte MS, Pomposelli FB, Clair DG, Geraghty PJ, McKinsey JF, Mills JL, et al. Society for vascular surgery practice guidelines for atherosclerotic occlusive disease of the lower extremities: management of asymptomatic disease and claudication. J Vasc Surg. 61(3):2S–41S.e1.Google Scholar
- 4.Gerhard-Herman MD, Gornik HL, Barrett C, Barshes NR, Corriere MA, Drachman DE, et al. 2016. AHA/ACC guideline on the management of patients with lower extremity peripheral artery disease: executive summary. Vasc Med. 2017;22(3):Np1–np43.Google Scholar