Adherence to guideline-recommended therapies among patients with diverse manifestations of vascular disease

Vascular Health and Risk Management
Debbie C ChenJohn R Laird

Abstract

Current guidelines recommend aspirin, statins, angiotensin-converting enzyme inhibitors (ACEIs), and smoking abstinence for all patients with vascular disease. There is little data on the variation in adherence to guideline-recommended therapies among patients with different clinical manifestations of vascular disease. To analyze the variation in adherence to guideline-recommended therapies among patients with diverse manifestations of vascular disease. We analyzed a comprehensive database of all patients with critical limb ischemia, claudication, acute limb ischemia, carotid artery stenosis, subclavian artery stenosis, renal artery stenosis, or mesenteric ischemia who underwent angiography between 2006 and 2013 at a multidisciplinary vascular center. Among 1,114 patients with vascular disease, adherence to guideline-recommended therapy at time of angiography included use of aspirin in 936 (84%), statins in 753 (68%), ACEIs in 673 (60%), and smoking abstinence in 788 (71%). A total of 335 (30%) patients utilized all four guideline-recommended therapies. Adherence to four guideline-recommended therapies was lowest among patients with acute limb ischemia (14%) and highest among patients with renal artery stenosis (37%). Among all...Continue Reading

Citations

Oct 25, 2017·Annals of Surgery·Anke C C M van MilDick H J Thijssen
Jun 4, 2020·Scandinavian Journal of Clinical and Laboratory Investigation·Niina KhanNiku Oksala
Aug 6, 2020·Journal of the American Heart Association·Simin HuaRobert C Kaplan
Jul 31, 2016·Cardiovascular Therapeutics·Kathleen A Packard, Daniel E Hilleman
Feb 16, 2021·Vascular Medicine·Stefanos Giannopoulos, Ehrin J Armstrong
Apr 20, 2021·Expert Review of Cardiovascular Therapy·Stefanos Giannopoulos, Ehrin J Armstrong

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