Peripheral Arterial Disease in the Elderly

The prevalence of peripheral arterial disease (PAD) increases with age and can impact quality of life and independence in this population. Understanding risk factors for the disease and its natural history is key to informed conversations with patients. Here we review approaches to diagnosis, medical management, exercise therapy, and revascularization for older patients across the spectrum of PAD. Patient education, lifestyle and risk factor modification, medical therapies, and exercise are cornerstones of treatment for PAD in all age groups. Clinical decision-making in elderly patients with advanced PAD requires a careful assessment of physiologic reserve, surgical risk, desired goals, and expected outcomes. An increasing array of options facilitates a tailored approach.

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