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CES Medicina
Print version ISSN 0120-8705
Abstract
HILLER, HEINZ; MURILLO, NATALIA; ULLOA, JORGE HERNANDO and DOMINGUEZ, JORGE ULLOA. Understanding medical treatment in lower limb peripheral arterial disease. CES Med. [online]. 2010, vol.24, n.2, pp.61-73. ISSN 0120-8705.
The management of patients with peripheral arterial disease has changed dramatically over the last ten years. Surgery, once the preferred treatment method for intermittent claudication, is not longer the treatment of choice for patients with this presentation. Medical management is now the first choice, and an improvement of claudication and quality of health can be achieved using a combination of statins, platelet aggregation inhibitors and the new inhibitor of cyclic AMP (adenosin monophosfate), Cilostazol. This review focuses on the new recommendations for clinical evaluation, diagnosis and medical treatment of patients with the disease.
Keywords : Peripheral Vascular Diseases; Cilostazol; Intermitent claudication; Platelet aggregation inhibitors; Ankle Brachial Index.