Peripheral Arterial Disease as an Undertreated Coronary Equivalent: Statin Gaps, Amputation Rates and Referral Failure

Authors

  • Domenico Sciarrone Department of Vascular Surgery, Campanian Heart Centre, Naples, Italy Author
  • Petra Ostermeier Department of Preventive Cardiology, Brandenburg Cardiovascular Centre, Potsdam, Germany Author
  • Sean Tarpey-Moran Centre for Health Inequalities, Dodder Institute of Cardiovascular Medicine, Dun Laoghaire, Ireland Author

DOI:

https://doi.org/10.5281/zenodo.22365946

Abstract

Coronary artery disease long ago established a treatment culture built around statins, antiplatelet therapy, structured
cardiac rehabilitation, and rapid specialist referral for escalating symptoms. Peripheral arterial disease shares the
same underlying atherosclerotic process and, as the evidence below sets out, carries at least as much long-term
cardiovascular risk. What it has not shared is the same treatment culture.

References

Subherwal S, Patel MR, Kober L, et al. "Peripheral artery disease is a coronary heart disease risk equivalent among both men and women: results from a nationwide study". Eur J Prev Cardiol 22(2015):317-325.

[Comparative statin-prescribing figures as summarized in a clinical review of PAD under-recognition, citing 2016 prescribing data across atherosclerotic disease categories]. Clinical Correlations, 2026.

Sutzko DC, Vemulapalli S, et al. "Supervised Exercise Therapy for Symptomatic Peripheral Artery Disease Among Medicare Beneficiaries Between 2017 and 2018: Participation Rates and Outcomes". Circ Cardiovasc Qual Outcomes 14(2021):e007953.

[US nontraumatic lower-extremity amputation incidence and post-amputation mortality, as summarized in a clinical review citing US epidemiologic and Medicare cohort data, 2000-2008]. Clinical Correlations, 2026.

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Published

2024-10-09

How to Cite

Peripheral Arterial Disease as an Undertreated Coronary Equivalent: Statin Gaps, Amputation Rates and Referral Failure. (2024). Journal of Heart and Cardiovascular Science, 5(1), 12-15. https://doi.org/10.5281/zenodo.22365946