Lancaster Physician Spring 2020 - 25

SPRING 2020

PAD

An Underdiagnosed Disease

W

hen talking about heart disease, one closely related but
often overlooked disease is Peripheral Artery Disease, or
PAD. The disease manifests when blood flow through the
arteries is reduced due to atherosclerosis or plaque buildup
in the iliac, femoral, popliteal, and tibial arteries.
Left untreated, lower extremity PAD is a progressive disease and
can cause morbidity and mortality as well as limit quality of life.
Lack of circulation to the limbs can result in wounds, gangrene,
and limb amputation. PAD can occur elsewhere in the body, such
as the carotid arteries, where it is a major contributor to stroke.
The National Heart, Lung, and Blood Institute estimates that PAD
affects 8 to 12 million people in the United States. In fact, one
in every 20 Americans over the age of 50 has PAD. The Journal
of the American Medical Association estimates that individuals
with PAD suffer about a five percent annual rate of major adverse
cardiovascular events.
SO WHY IS IT UNDERDIAGNOSED?
There are a variety of reasons PAD goes unnoticed, but the most
common are awareness and differential diagnosis. According to
the American Heart Association (AHA), there is very low public
awareness of PAD, its prevalence, and its risk. One U.S. national

MATTHEW EVANS, DO

Cardiac Consultants,
UPMC Pinnacle Heart and
Vascular Institute

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LANCASTER

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PHYSICIAN



Lancaster Physician Spring 2020

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