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A Call to Action

Arch Intern Med. 2003;163:884-892.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

THIS CALL-TO-ACTION document is an initiative of the Prevention of Atherothrombotic Disease Network, an international, multidisciplinary network, adjoined by the mutual goal of increasing awareness, detection, and treatment rates of peripheral arterial disease (PAD) and increasing awareness of the interrelationship between PAD and the risk of ischemic events. Although the prevalence of PAD in Europe and North America is estimated at approximately 27 million people, PAD remains a largely underdiagnosed and undertreated disease. Several recent epidemiologic studies have revealed PAD detection rates of 20% to 30% when specific at-risk populations were screened. In an effort to guide diagnostic and treatment protocols, the Prevention of Atherothrombotic Disease Network has recommended 5 action items. These are to (1) increase awareness of PAD and its consequences; (2) improve the identification of patients with symptomatic PAD; (3) initiate a screening protocol for patients at high risk for PAD; (4) improve treatment rates among patients . . . [Full Text of this Article]

INTRODUCTION

PAD EPIDEMIOLOGY, PREVALENCE, AND RISK FACTORS

PAD Prevalence

Morbidity and Mortality

PAD DETECTION

Ankle-Brachial Index

Limitations of the ABI

PAD MANAGEMENT

Treatment of Commonly Associated PAD Risk Factors

Managing PAD Symptoms

Managing Critical and Acute Limb Ischemia

Risk Reduction With Pharmacologic Intervention

Role of Exercise Rehabilitation in the Treatment of PAD

CALL TO ACTION

Item 1: Increase Awareness of PAD and Its Consequences

Item 2: Improve the Identification of Patients With Symptomatic PAD

Item 3: Initiate a Screening Protocol for Patients at High Risk for PAD

Item 4: Improve Treatment Rates Among Patients Who Have Been Diagnosed With Symptomatic PAD

Item 5: Increase the Rates of Early Detection Among the Asymptomatic Population

SUMMARY

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