Increased mortality in octogenarians treated for lifestyle limiting claudication

Abstract

Although endovascular techniques seem to dominate the care for octogenarians with LLC, the overall morbidity and mortality rates are significantly higher in this patient population. Other options such as medical management and/or supervised exercise therapy should be explored in this patient group.

Comparison of Mortality in Patients with Multiple Morbidities and with Single Morbidity Admitted at Acute Medical Unit, Pak Emirates Military Hospital, Rawalpindi, Pakistan

“…6 Medical therapy and lifestyle modifications are usually considered the preferred therapeutic strategies for elderly as the rate of complications and risk of mortality is found to be higher in patients undergoing surgical interventions like that for lower limb claudication. 11 Multimorbidity, as found by our study and many other studies worldwide is an emerging health problem and extensive research is being carried to study the patterns of multi-morbidity. Our study found the co-occurrence of diseases like diabetes mellitus and hypertension, hypertension and cerebrovascular accidents, hypertension and chronic kidney disease, based on the pathological changes that one disease brings in the body aggravating the effect of or causing the other disease.…”

2024 ACC/AHA/AACVPR/APMA/ABC/SCAI/SVM/SVN/SVS/SIR/VESS Guideline for the Management of Lower Extremity Peripheral Artery Disease: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines

“…In retrospective cohorts of patients with PAD, morbidity, functional status, prescription of GDMT, and overall mortality were significantly worse after revascularization procedures and major amputation in elderly patients when compared with younger patients with PAD. 14,15,20,21 Identification of these geriatric syndromes in older adults with PAD can be a catalyst for shared decision-making to evaluate the use of endovascular, surgical, or hybrid revascularization procedures to balance the risk of complications or loss of independence against the potential for improved QOL and palliation of symptoms with a limited life span.…”