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Walk the Even Hospital Database by book and chapter — the raw source passages that ground Ask, DDx, and the rest.
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Gardiovlgcular Medlclne PAD is a CAD risk equiralent. Therapy includes: r smoking cessation . BP goal <130/80 mm Hg . aspirin (preferred overclopidogrel) o moderate- or high-intensity statin therapy o cilostazol for patients with intermittent claudication Select PCI or surgery for patients who do not improve with medical therapy or have pain at rest or poorly healing ulcers. Patients with acute limb ischemia require heparin anticoaguladon as well as urgent surgical consultation. DOTT BI TRICKID o PAD alone ls not an indication for anticoagulation. . Do not use cilostazol in patients with a low LVEF or history of HF o p-Blockers are not contraindicated in patients with PAD. Tttf,YOURII]F A 60-year-old man has a 6-month history of claudication in both thighs and calves. ABI is 0.66 on the right side and 0.55 on the left side. He is symptomatic despite an intensive lifestyle management program. ANSWER: For treatment, begin cilostazol. 46