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. 2021 May 13;107(22):1835–1843. doi: 10.1136/heartjnl-2019-316164

Table 1.

Parallel concepts in care in patients with CAD and PAD

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.