Peripheral Arterial Disease: Symptoms, Treatments, and Lifestyle Changes

2023-10-23 20:02:32

This cardiovascular condition does not usually generate initial symptoms in patients.

Luisa Ochoa

October 23, 2023 | | Reading Time: 4 min

Dr. Damián Grovas, interventional cardiologist. Photomontage: Medicine and Public Health Magazine.

In the United States, more than 8 million people suffer from arterial disease peripheral or also known as peripheral arterial disease, a condition characterized by obstruction of blood flow to the lower extremities.

Fortunately, there are treatments and science is advancing in the development of new therapies that provide more hope to patients who are in an advanced state of the disease.

This was announced by Dr. Damián Grovas, interventional cardiologist during the second edition of Tu Heart Health in Good Hands from the Medicine and Public Health Magazine, in alliance with the Cardiovascular Center of Puerto Rico and the Caribbean.

Surgical procedures for the treatment of peripheral arterial disease

“Today the technology is advanced and we go from the simple balloon, where you put a balloon in an area where the injury or blockage of the artery is. There are also antiplatelet medications that can help the patient; balloon, stent or atherectomy can be used. There is a solution, but the patient must be diagnosed in time,” he explained.

Among the surgical treatments for arterial disease Peripheral is angioplasty, where the doctor inflates a small balloon in the artery to flatten the plaque. Revascularization surgery is also available to treat severe pain, heal wounds, or save a damaged leg when angioplasty is unlikely to work.

In addition to these two treatments, atherectomy can also be implemented, a minimally invasive procedure where the artery is opened and cut or the disease causing the narrowing or blockage of the vessel is removed.

“There are many modalities and hope for the patient with arterial disease peripheral. There is a solution, whether surgical or endovascular,” highlighted the specialist.

Lifestyle changes are key

The management of this condition includes the use of medications, lifestyle changes and exercise programs with the aim of reducing the risks of heart attack and improving the ability to perform daily activities.

“One of the pieces of advice for patients is to try to eat healthy (the Mediterranean diet is recommended), exercise almost daily and maintain an appropriate weight. That will lead them to not develop the arterial disease peripheral and if the patient has it, he or she will feel better,” emphasized the cardiologist.

Likewise, the expert mentioned that the primary doctor must monitor diabetes, hypertension and cholesterol in patients who are at risk or who have been diagnosed with arterial disease peripheral.

“Essentially, one of the recommendations given to the patient and the referral, the primary doctor, is diabetes control. Glycosylated hemoglobin should be less than 7 and glucose well controlled. Control of hypertension; systolic pressures are less than 130 and 80. Also cholesterol control, especially LDL, and not smoking, that is very important,” he clarified.

Likewise, physical activity is key to controlling the arterial disease peripheral. For this reason, the cardiologist highlighted the benefits of activities such as swimming, cycling and outdoor exercises.

See the full program here.

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