Pressures, indexes and peripheral arterial disease: Time to rethink our approach?

Abstract

Most patients with peripheral arterial disease (PAD) are asymptomatic. Despite the absence of symptoms, these patients have a significantly increased risk of death and adverse vascular events.1 Early detection of individuals with asymptomatic PAD facilitates prompt introduction of secondary prevention (lifestyle modification, smoking cessation, anti-platelet medications and lipid management). Ankle-brachial pressure index (ABPI) is generally