Doenˋa arterial obstrutiva perif谷rica: que atenˋˋo temos dispensado 角 abordagem cl赤nica dos pacientes?

作者：Durazzo; Anai Espinelli de Souza; Sitrangulo Jr; Cid Jose; Presti; Calogero; Silva; Erasmo Simo da; De Luccia; Nelson

来源：Jornal Vascular Brasileiro, 2005.

DOI：10.1590/S1677-54492005000300007

• peripheral arterial disease
• arteriosclerosis
• intermittent claudication
• risk factors
• cholesterol
• smoking
• aspirin
• exercise
• hypertension
• diabetes mellitus.

objective: the purpose of this survey was to evaluate how patients with peripheral obstructive arterial disease have been treated, concerning risk factors and comorbidities. method: a questionnaire was applied to all physicians attending the monthly meeting of the brazilian society of angiology and vascular surgery - sˋo paulo section. questions were asked about the following major risk factors: treatment of dyslipidemia, diabetes, exercise regimens, antiplatelet therapy, smoking and arterial hypertension. results: of the 102 questionnaires, 75 were answered (response rate of 73.5%). of these, 82% routinely measure cholesterol levels and 20% aim at an ldl cholesterol target below 100 mg/dl; 94% perform a screening for diabetes mellitus; 97% recommend patients to an exercise program; 79% prescribe aspirin; 97% recommend patients to quit smoking and 60% only do it by counseling; 18% do not measure blood pressure and 19% have a target pressure of 130 x 80 mmhg. considering the recommendations as a whole - lifestyle intervention in order to quit smoking, aerobic exercise, prescription of antiplatelet therapy, screening for diabetes mellitus, rigorous control of blood pressure and lipids - it was observed that 7% of interviewees follow all of them as an established routine. conclusion: the present study showed that patients with peripheral arterial disease are currently undertreated with regard to the screening and treatment of risk factors and comorbidities.