Document Detail


Expanding roles of the cardiovascular specialists in panvascular disease prevention and treatment.
MedLine Citation:
PMID:  15100756     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Atherosclerosis manifests as a broad spectrum of clinical pathology involving both coronary and noncoronary circulation. Peripheral artery disease (PAD) and coronary artery disease (CAD) have an important negative impact on each other with respect to treatment options and prognosis. The issue is further compounded by the underdiagnosis and undertreatment of PAD among CAD patients. There are compelling reasons why cardiovascular specialists should take an active role in the care of patients with global atherosclerotic disease. Several areas that impact cardiac patient care and thus are of particular interest to the cardiologists are renal artery disease causing hypertension or renal insufficiency; carotid artery stenosis in precoronary bypass patients; subclavian artery disease causing myocardial ischemia in patients with internal mammary bypass graft; and aortoiliofemoral arterial obstruction causing reduction in exercise tolerence and limitation in arterial access. Risk factor modifications for primary and secondary prevention are similar between CAD and PAD. Moreover, interventional cardiologists possess the necessary skills, which are transferable from coronary intervention to peripheral revascularization. To optimize outcomes, it is important for cardiovascular specialists to have a good foundation of knowledge about the natural history, treatment options and lesion selection. Collaboration with multidisciplinary specialists, including vascular surgeons and neurologists, is advisable for the treatment of PAD.
Authors:
Albert W Chan
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The Canadian journal of cardiology     Volume:  20     ISSN:  0828-282X     ISO Abbreviation:  Can J Cardiol     Publication Date:  2004 Apr 
Date Detail:
Created Date:  2004-04-21     Completed Date:  2004-05-27     Revised Date:  2008-04-09    
Medline Journal Info:
Nlm Unique ID:  8510280     Medline TA:  Can J Cardiol     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  535-44     Citation Subset:  IM    
Affiliation:
Department of Cardiology, Ochsner Clinic Foundation, New Orleans, Louisiana 70121, USA. achan@ochsner.org
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MeSH Terms
Descriptor/Qualifier:
Arteriosclerosis / prevention & control*
Canada
Cardiology
Coronary Artery Disease / prevention & control*
Delivery of Health Care
Humans
Peripheral Vascular Diseases / prevention & control*
Physician's Practice Patterns*
United States
Comments/Corrections
Comment In:
Can J Cardiol. 2004 Apr;20(5):545-6   [PMID:  15100757 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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