2003年美国糖尿病协会(ADA)PAD治疗指南.pdfVIP

R e v i e w s / C o m m e n t a r i e s / P o s i t i o n S t a t e m e n t s C O N S E N S U S S T A T E M E N T Peripheral Arterial Disease in People With Diabetes AMERICAN DIABETES ASSOCIATION lower-extremity amputation, especially in patients with diabetes. Moreover, even for the asymptomatic patient, PAD is a marker for systemic vascular disease in- eripheral arterial disease (PAD) is a 1) WHAT IS THE volving coronary, cerebral, and renal ves- condition characterized by athero- EPIDEMIOLOGY AND sels, leading to an elevated risk of events, Psclerotic occlusive disease of the IMPACT OF PERIPHERAL such as myocardial infarction (MI), lower extremities. While PAD is a major ARTERIAL DISEASE IN stroke, and death. risk factor for lower-extremity amputa- PEOPLE WITH DIABETES? Diabetes and smoking are the stron- tion, it is also accompanied by a high PAD is a manifestation of atherosclerosis gest risk factors for PAD. Other well- likelihood for symptomatic cardiovas- characterized by atherosclerotic occlusive known risk factors are advanced age, cular and cerebrovascular disease. Al- disease of the lower extremities and is a hypertension, and hyperlipidemia (3).