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- W1566753878 abstract "Aims. Intermittent claudication (IC) due to an obstructive arteriosclerotic pathology of the femoral-popliteal sector is the most frequent clinical expression of ischemia in the lower limbs. In order to learn about its natural history, it is necessary to be familiar with that of the lesion to the superficial femoral artery, that of the affected limb and that of the patient with claudication, as well as the factors that are going to exert an influence on it. Development. The progression of the atheroma plaque will depend on clinical factors such as diabetes, smoking, high blood pressure and the Ankle Brachial Index (ABI), and on histopathological factors such as the extent of stenosis, the length, morphology and location of the plaque. The natural history of IC is benign with regard to the prognosis of the limb, with 75% stabilisation or improvement, 25% deterioration and 1-2% involving amputation. It is, however, malignant as regards its cardiovascular morbidity and mortality, since 60% of patients with claudication will present heart or cerebrovascular pathologies, with a mortality rate due to these causes of over 20% at 5 years. The factors that lead to a poorer prognosis both for the limb and for the patient are a low ABI, diabetes and smoking Conclusions. Having good knowledge of the natural history of the atheroma plaque, of the limb and of the patient, as well as the factors that affect them, will enable us to obtain a more accurate prognosis of each lesion and so be in a position to apply the most suitable therapy to each patient." @default.
- W1566753878 created "2016-06-24" @default.
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- W1566753878 date "2003-01-01" @default.
- W1566753878 modified "2023-09-28" @default.
- W1566753878 title "Evolución natural de la claudicación intermitente" @default.
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