Preventive Therapies in Peripheral Arterial Disease

Atherosclerosis, while initially deemed a bland proliferative process, is now recognized as a multifactorial-lipoprotein-mediated inflammation-driven pathway. With the rising incidence of atherosclerotic disease of the lower extremity arteries, the healthcare burden and clinical morbidity and mortal...

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Main Authors: Aangi J. Shah, Nicholas Pavlatos, Dinesh K. Kalra
Format: Article
Language:English
Published: MDPI AG 2023-11-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/11/12/3157
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author Aangi J. Shah
Nicholas Pavlatos
Dinesh K. Kalra
author_facet Aangi J. Shah
Nicholas Pavlatos
Dinesh K. Kalra
author_sort Aangi J. Shah
collection DOAJ
description Atherosclerosis, while initially deemed a bland proliferative process, is now recognized as a multifactorial-lipoprotein-mediated inflammation-driven pathway. With the rising incidence of atherosclerotic disease of the lower extremity arteries, the healthcare burden and clinical morbidity and mortality due to peripheral artery disease (PAD) are currently escalating. With a healthcare cost burden of over 21 billion USD and 200 million patients afflicted worldwide, accurate knowledge regarding the pathophysiology, presentation, and diagnosis of the disease is crucial. The role of lipoproteins and their remnants in atherosclerotic vessel occlusion and plaque formation and progression has been long established. This review paper discusses the epidemiology, pathophysiology, and presentation of PAD. PAD has been repeatedly noted to portend to poor cardiovascular and limb outcomes. We discuss major therapeutic avenues for the prevention of major cardiovascular adverse events and major limb adverse events in patients with PAD.
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spelling doaj.art-f1a17ab77e734e0794a04922d9c52b812023-12-22T13:54:49ZengMDPI AGBiomedicines2227-90592023-11-011112315710.3390/biomedicines11123157Preventive Therapies in Peripheral Arterial DiseaseAangi J. Shah0Nicholas Pavlatos1Dinesh K. Kalra2Department of Internal Medicine, University of Louisville School of Medicine, Louisville, KY 40202, USADepartment of Internal Medicine, University of Louisville School of Medicine, Louisville, KY 40202, USADivision of Cardiology, University of Louisville School of Medicine, Louisville, KY 40202, USAAtherosclerosis, while initially deemed a bland proliferative process, is now recognized as a multifactorial-lipoprotein-mediated inflammation-driven pathway. With the rising incidence of atherosclerotic disease of the lower extremity arteries, the healthcare burden and clinical morbidity and mortality due to peripheral artery disease (PAD) are currently escalating. With a healthcare cost burden of over 21 billion USD and 200 million patients afflicted worldwide, accurate knowledge regarding the pathophysiology, presentation, and diagnosis of the disease is crucial. The role of lipoproteins and their remnants in atherosclerotic vessel occlusion and plaque formation and progression has been long established. This review paper discusses the epidemiology, pathophysiology, and presentation of PAD. PAD has been repeatedly noted to portend to poor cardiovascular and limb outcomes. We discuss major therapeutic avenues for the prevention of major cardiovascular adverse events and major limb adverse events in patients with PAD.https://www.mdpi.com/2227-9059/11/12/3157peripheral artery diseaselipidsatherosclerosispreventionmajor adverse cardiovascular eventslipid-lowering therapy
spellingShingle Aangi J. Shah
Nicholas Pavlatos
Dinesh K. Kalra
Preventive Therapies in Peripheral Arterial Disease
Biomedicines
peripheral artery disease
lipids
atherosclerosis
prevention
major adverse cardiovascular events
lipid-lowering therapy
title Preventive Therapies in Peripheral Arterial Disease
title_full Preventive Therapies in Peripheral Arterial Disease
title_fullStr Preventive Therapies in Peripheral Arterial Disease
title_full_unstemmed Preventive Therapies in Peripheral Arterial Disease
title_short Preventive Therapies in Peripheral Arterial Disease
title_sort preventive therapies in peripheral arterial disease
topic peripheral artery disease
lipids
atherosclerosis
prevention
major adverse cardiovascular events
lipid-lowering therapy
url https://www.mdpi.com/2227-9059/11/12/3157
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