The lack of cardiovascular risk factor management in patients with critical limb ischaemia

被引:25
作者
Bismuth, J [1 ]
Klitfod, L [1 ]
Sillesen, H [1 ]
机构
[1] Univ Copenhagen, Gentofte Hosp, Dept Vasc Surg, DK-1168 Copenhagen, Denmark
关键词
peripheral arterial disease; coronary artery disease; medical management;
D O I
10.1053/ejvs.2000.1293
中图分类号
R61 [外科手术学];
学科分类号
摘要
Aim: to define the level of management of cardiovascular risk factors in patients treated for critical limb ischaemia in a vascular surgical setting. Materials and Methods: retrospective review of all (n = 147) patients operated on for critical lower extremity ischaemia in 1998. We included pre- and postoperative cardiac events. Results: only eight (5%) (95% CI; 2-9) were on lipid lowering treatment and 58 (39%) (95% CI; 31-47) using acetylsalicylic acid. Conclusions: only a minority of patients operated on for CLI were receiving adequate cardiovascular risk factor modification.
引用
收藏
页码:143 / 146
页数:4
相关论文
共 20 条
[11]  
LENG GC, LIPID LOWERING PHARM
[12]   Atherosclerotic risk factors are less intensively treated in patients with peripheral arterial disease than in patients with coronary artery disease [J].
McDermott, MM ;
Mehta, S ;
Ahn, H ;
Greenland, P .
JOURNAL OF GENERAL INTERNAL MEDICINE, 1997, 12 (04) :209-215
[13]   ANKLE-ARM INDEX AS A MARKER OF ATHEROSCLEROSIS IN THE CARDIOVASCULAR HEALTH STUDY [J].
NEWMAN, AB ;
SISCOVICK, DS ;
MANOLIO, TA ;
POLAK, J ;
FRIED, LP ;
BORHANI, NO ;
WOLFSON, SK .
CIRCULATION, 1993, 88 (03) :837-845
[14]   TREATMENT OF INTERMITTENT CLAUDICATION WITH BETA-PYRIDYL CARBINOL OVER 2 YEARS [J].
NYE, ER ;
MACBETH, WAA .
ATHEROSCLEROSIS, 1973, 17 (01) :95-106
[15]  
PEDERSEN TR, 1994, LANCET, V344, P1383
[16]   Inflammation, pravastatin, and the risk of coronary events after myocardial infarction in patients with average cholesterol levels [J].
Ridker, PM ;
Rifai, N ;
Pfeffer, MA ;
Sacks, FM ;
Moye, LA ;
Goldman, S ;
Flaker, GC ;
Braunwald, E .
CIRCULATION, 1998, 98 (09) :839-844
[17]   PREVENTION OF CORONARY HEART-DISEASE WITH PRAVASTATIN IN MEN WITH HYPERCHOLESTEROLEMIA [J].
SHEPHERD, J ;
COBBE, SM ;
FORD, I ;
ISLES, CG ;
LORIMER, AR ;
MACFARLANE, PW ;
MCKILLOP, JH ;
PACKARD, CJ .
NEW ENGLAND JOURNAL OF MEDICINE, 1995, 333 (20) :1301-1307
[18]  
Tonkin A, 1998, NEW ENGL J MED, V339, P1349
[19]  
Whittemore AD, 1995, VASCULAR SURG, V1, P794
[20]  
Wood D, 1998, EUR HEART J, V19, P1434