Lower Limb Peripheral Arterial Disease (Clinical Guideline 147): A Guideline Summary
Abstract
The following text summarises the National Institute for Health and Clinical Excellence (NICE) clinical guidelines (CG 147)1 on the diagnosis and management of lower limb peripheral arterial disease (PAD). With the increasing prevalence of obesity, hypertension, and dyslipidaemia, the more severe cardiovascular complications of such disorders are becoming increasingly common, including PAD. There is, therefore, a need to establish the most efficient and effective methods of diagnosis, treatment, and long-term management to tackle this issue.
Population based studies have found that approximately 20% of people over 60-years-old have some degree of PAD, presenting predominantly with symptoms of intermittent claudication.2 Approximately 20% of these will progress to develop more severe symptoms1 with the risk of critical limb ischaemia, irreversible damage, and the possible need for surgical intervention and eventually even amputation. Therefore, PAD and its sequalae are going to be encountered by virtually every healthcare professional, and a sufficient understanding of the pathology, its diagnosis, and management is crucial.
These guidelines (CG 147) target healthcare professionals responsible for diagnosing and initiating treatment in people with suspected or diagnosed PAD. It addresses methods of diagnosis, information requirements, and lifestyle advice for the prevention of cardiovascular disease secondary to PAD, management of intermittent claudication and critical limb…
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