Table 1.
CAD | PAD | Management |
Guideline-directed medical therapy | Optimal medical therapy | Antithrombotic, lipid-lowering, antihypertensive and glycaemic control agents |
Lifestyle management | Lifestyle management | Smoking cessation, dietary intervention, weight management, exercise |
Stable angina | Claudication | Conservative symptom management with revascularisation reserved for significant symptoms |
Acute coronary syndrome | Chronic limb-threating ischaemia and chronic mesenteric ischaemia | Revascularisation generally preferred over medical therapy alone |
ST-elevation myocardial infarction | Acute limb ischaemia and acute mesenteric ischaemia | Urgent or emergent revascularisation |
Stent versus coronary bypass surgery | Endovascular versus surgical revascularisation | Multidisciplinary approach to balance anatomic complexity, periprocedural complications, risk of repeat revascularisation and patient’s preference |
CAD, coronary artery disease; PAD, peripheral artery disease.