Amjad AlMahameed, MD, MPH Director, Vascular Medicine Research, Associate Staff, Section of Vascular Medicine, Department of Cardiovascular Medicine, Cleveland Clinic
Address: Amjad AlMahameed, MD, MPH, Section of Vascular Medicine, Department of Cardiovascular medicine, S60, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195; e-mail almahaa@ccf.org
The author has indicated that he has received honoraria and consulting fees from the Sanofi-Aventis corporation.
Medical Grand Rounds articles are based on edited transcripts from Division of Medicine Grand Rounds presentations at Cleveland Clinic. They are approved by the author but are not peer-reviewed.
ABSTRACTPeripheral arterial disease (PAD) is common but has a variable presentation and is often unrecognized and undertreated. Patients with PAD have an increased risk of cardiovascular events and death. The ankle-brachial index is a quick, reliable diagnostic tool that also helps assess disease severity and prognosis. Treatment goals for PAD are to improve symptoms, enhance functional performance, prevent limb amputation, and reduce cardiovascular complications.