Asymptomatic peripheral artery disease: Silent but deadly

Prog Cardiovasc Dis. 2021 Mar-Apr:65:2-8. doi: 10.1016/j.pcad.2021.02.009. Epub 2021 Feb 20.

Abstract

Peripheral Artery Disease (PAD) is a manifestation of atherosclerosis characterized by diminished perfusion of the limb and a state of dysmetabolism. The asymptomatic PAD phenotype is a relatively recent classification. It is unknown how many people currently live with asymptomatic PAD because there are no universal screening recommendations for patients at risk for PAD. Patients with asymptomatic PAD suffer from a similar risk profile of morbidity and mortality as their counterparts with claudication. Despite this increased risk, there is a dearth of clinical investigations into therapies that specifically benefit the asymptomatic PAD population. At present, current pharmacotherapies that have been studied in PAD patient populations do not stratify by symptom status. We believe that further investigation of the impact of existing therapies in this unique population presents an opportunity to reduce morbidity and mortality due to PAD. This can only be achieved in combination with wide-spread adoption of screening for asymptomatic PAD.

Keywords: Asymptomatic peripheral artery disease; Claudication.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Angiotensin-Converting Enzyme Inhibitors / therapeutic use*
  • Ankle Brachial Index / economics
  • Asymptomatic Diseases
  • Cost-Benefit Analysis
  • Diagnostic Screening Programs / economics
  • Diet, Healthy
  • Disease Progression
  • Exercise
  • Health Care Costs
  • Humans
  • Hypolipidemic Agents / therapeutic use*
  • Peripheral Arterial Disease / diagnosis
  • Peripheral Arterial Disease / economics
  • Peripheral Arterial Disease / mortality
  • Peripheral Arterial Disease / therapy*
  • Platelet Aggregation Inhibitors / therapeutic use*
  • Predictive Value of Tests
  • Risk Reduction Behavior*
  • Smoking Cessation
  • Treatment Outcome

Substances

  • Angiotensin-Converting Enzyme Inhibitors
  • Hypolipidemic Agents
  • Platelet Aggregation Inhibitors