Treatment of Patients with Peripheral Arterial Disease

Abstract

Many risk which factors lead to development of arteriosclerotic arterial disease , on one hand and significant possibilities for development of collateral circulation, on the other hand, confirm the possibilities of prevention and need for timely treatments of patients with peripheral arterial disease (PAD). PAD prevention should start as early as possible, through education o population about healthy nutrition and appropriate physical activities, which is programmed and supervised. In treatment of asymptomatic and mild symptoms cases as well as post re-vascularisation cases, along with drug therapy, physical therapy has an important role: it leads to the subjective improvement, it enhances development of collateral circulation, increases claudication distance. By all these, physical therapy contributes to the limb preservation and to the quality of life. Hyperbaric oxygenotherapy (HBOT ) is important in patients with arterial occlusion followed by critical ischemia when oxygen enters the tissue in only way possible – dissolved in plasma.