The management of combined coronary artery disease and peripheral vascular disease

Coronary artery disease (CAD) and peripheral vascular disease (PVD) remain highly prevalent in the population due to population ageing, smoking, diabetes, unhealthy lifestyles, and the epidemic of obesity, and frequently coexist. The management of combined CAD and PVD is a common challenge and bring...

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Bibliographic Details
Published in:European heart journal 2010-07, Vol.31 (13), p.1565-1572
Main Authors: Cassar, Andrew, Poldermans, Don, Rihal, Charanjit S., Gersh, Bernard J.
Format: Article
Language:English
Subjects:
Adrenergic beta-1 Receptor Antagonists - therapeutic use
Angioplasty, Balloon, Coronary - methods
Biological and medical sciences
Cardiology. Vascular system
Carotid Artery Diseases - complications
Carotid Artery Diseases - therapy
Coronary artery disease
Coronary Artery Disease - complications
Coronary Artery Disease - prevention & control
Coronary Artery Disease - therapy
Coronary heart disease
Heart
Humans
Long-Term Care
Medical sciences
Myocardial Revascularization - methods
Non-cardiac vascular surgery
Peri-operative management
Peripheral vascular disease
Peripheral Vascular Diseases - complications
Peripheral Vascular Diseases - prevention & control
Peripheral Vascular Diseases - therapy
Prognosis
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the heart
Survival Analysis
Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels
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Summary:Coronary artery disease (CAD) and peripheral vascular disease (PVD) remain highly prevalent in the population due to population ageing, smoking, diabetes, unhealthy lifestyles, and the epidemic of obesity, and frequently coexist. The management of combined CAD and PVD is a common challenge and brings with it numerous clinical dilemmas. The goal of this article is to review the prevalence of PVD and its major impact upon prognosis in patients with known CAD and in turn to review the impact of CAD upon the prognosis of patients with PVD. This review will also highlight issues related to the peri-operative evaluation and management of patients going to vascular surgery, including medical optimization as well as the performance and timing of coronary revascularization.
ISSN:0195-668X
1522-9645
DOI:10.1093/eurheartj/ehq186