TY - JOUR
T1 - Peripheral arterial disease and chronic heart failure : a dangerous mix
AU - Inglis, Sally C.
AU - Hermis, Adriana
AU - Shehab, Sajad
AU - Newton, Phillip J.
AU - Lal, Sara
AU - Davidson, Patricia M.
PY - 2013
Y1 - 2013
N2 - Chronic heart failure (CHF) is associated with a high comorbidity burden, adverse impact on quality of life and high health care utilisation. Peripheral arterial disease (PAD) and CHF share many risk, pathophysiological and prognostic features, and each has been associated with increased morbidity and mortality. PAD often goes undetected, and yet in spite of the availability of screening tools, this is not commonly considered in CHF care. A review of the electronic databases Medline, CINAHL and Cochrane CENTRAL was undertaken using the MeSH terms peripheral arterial disease, peripheral vascular disease, intermittent claudication and heart failure to identify studies examining the prevalence and clinical outcomes of coexisting PAD in patients with CHF. Five studies were identified. There are limited data describing the impact of PAD on CHF outcomes. As PAD may contribute to decreased capacity to exercise and other self-care behaviours, identifying those at risk and providing appropriate therapy are important. Based on this review, patients who are smokers and those with diagnosed coronary heart disease and diabetes should be targeted for the screening of PAD.
AB - Chronic heart failure (CHF) is associated with a high comorbidity burden, adverse impact on quality of life and high health care utilisation. Peripheral arterial disease (PAD) and CHF share many risk, pathophysiological and prognostic features, and each has been associated with increased morbidity and mortality. PAD often goes undetected, and yet in spite of the availability of screening tools, this is not commonly considered in CHF care. A review of the electronic databases Medline, CINAHL and Cochrane CENTRAL was undertaken using the MeSH terms peripheral arterial disease, peripheral vascular disease, intermittent claudication and heart failure to identify studies examining the prevalence and clinical outcomes of coexisting PAD in patients with CHF. Five studies were identified. There are limited data describing the impact of PAD on CHF outcomes. As PAD may contribute to decreased capacity to exercise and other self-care behaviours, identifying those at risk and providing appropriate therapy are important. Based on this review, patients who are smokers and those with diagnosed coronary heart disease and diabetes should be targeted for the screening of PAD.
KW - diagnosis
KW - heart failure
KW - peripheral arterial disease
KW - surgery
UR - http://handle.westernsydney.edu.au:8081/1959.7/uws:42700
U2 - 10.1007/s10741-012-9331-1
DO - 10.1007/s10741-012-9331-1
M3 - Article
SN - 1382-4147
VL - 18
SP - 457
EP - 464
JO - Heart Failure Reviews
JF - Heart Failure Reviews
IS - 4
ER -