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Previous Volume 356:1241-1250 March 22, 2007 Number 12 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.

A 58-year-old, previously healthy mail carrier reports cramping pain in his right calf when he walks. The discomfort has progressively worsened over the past 6 months and now forces him to rest after walking half a block on level ground at a normal pace. The pain is interfering with his ability to perform his job. He has a normal right femoral pulse . . . [Full Text of this Article]

The Clinical Problem

Strategies and Evidence

Evaluation

Treatment

            Risk-Factor Modification

            Antiplatelet and Other Pharmacologic Therapy

            Exercise

            Revascularization

Areas of Uncertainty

Stents

Adjunctive Angioplasty

Follow-up after Percutaneous Interventions

Guidelines

Summary and Recommendations

Source Information

From the Department of Cardiology, Ochsner Medical Center, New Orleans.

Address reprint requests to Dr. White at the Department of Cardiology, Ochsner Medical Center, 1514 Jefferson Hwy., New Orleans, LA 70121, or at cwhite@ochsner.org.

Related Letters:

Intermittent Claudication
Emmerich J., Messas E., Fiessinger J.-N., Dregelid E., White C.
Extract | Full Text | PDF  
N Engl J Med 2007; 357:91-93, Jul 5, 2007. Correspondence

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• Grenon, S. M., Gagnon, J., Hsiang, Y. (2009). Ankle-Brachial Index for Assessment of Peripheral Arterial Disease. NEJM 361: e40-e40  
• Arain, F. A., Cooper, L. T. Jr (2008). Peripheral Arterial Disease: Diagnosis and Management. Mayo Clin Proc. 83: 944-950 [Abstract] [Full Text]  
• Sobel, M., Verhaeghe, R. (2008). Antithrombotic Therapy for Peripheral Artery Occlusive Disease: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition). Chest 133: 815S-843S [Abstract] [Full Text]  
• Emmerich, J., Messas, E., Fiessinger, J.-N., Dregelid, E., White, C. (2007). Intermittent Claudication. NEJM 357: 91-93 [Full Text]