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      <div>Peripheral Artery Disease</div>

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      <div>Peripheral Artery Disease</div>

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                  <h1  class="field field--name-title field--type-string field--label-hidden responsive-container responsive-container-constrained field__item"><span class="ht-kicker">Peripheral Artery Disease </span>Treatment<hr>
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            <div class="field field--name-field-component-section-content field--type-text-long field--label-hidden clearfix field__item"><p><span><span><span><span><span>Treatment depends on how severe your PAD is and what </span></span></span><a href="https://www.nhlbi.nih.gov/health/peripheral-artery-disease/living-with" rel="noreferrer"><span><span>complications</span></span></a><em> </em><span><span><span>you may develop or already have. Your treatment plan will be designed to help you reach the following key goals:</span></span></span></span></span></p>

<ul><li><span><span><span><span><span><span>Reducing your risk of a major health problem such as a heart attack or stroke</span></span></span></span></span></span></li>
	<li><span><span><span><span><span><span>Reducing symptoms of PAD</span></span></span></span></span></span></li>
	<li><span><span><span><span><span><span>Improving your ability to walk, climb stairs, and perform other daily activities</span></span></span></span></span></span></li>
	<li><span><span><span><span><span><span>Lowering your risk of losing a limb</span></span></span></span></span></span></li>
	<li><span><span><span><span><span><span>Improving your quality of life</span></span></span></span></span></span></li>
</ul><p><span><span><span><span><span>To treat PAD, your provider may recommend </span></span></span><span><span>heart-healthy lifestyle<span> changes, an exercise program, medicine, or a procedure to open or bypass blockages in your arteries.</span></span></span></span></span></p></div>
      
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<h2 class="field--name-field-component-section-titl component-section-section-title">Heart-healthy lifestyle changes</h2>

            <div class="field field--name-field-component-section-content field--type-text-long field--label-hidden clearfix field__item"><p><span><span><span><span><span>Your provider may recommend that you adopt lifelong heart-healthy lifestyle changes:</span></span></span></span></span></p>

<ul><li><span><span><a href="https://www.nhlbi.nih.gov/health/heart-healthy-living/quit-smoking" rel="noreferrer"><strong><span><span><span>Quit smoking</span></span></span></strong></a><strong><span><span><span>.</span></span></span></strong><span><span> Smoking is the main risk factor of PAD. Quitting can reduce your symptoms and your risk of complications. It is also important to avoid secondhand smoke. Visit </span></span><a href="https://www.nhlbi.nih.gov/health/heart/smoking/effects" rel="noreferrer"><span><span><span>Smoking and Your Heart</span></span></span></a><span><span> and the National Heart, Lung, and Blood Institute’s </span></span><a href="/node/84561"><span><span><span>Your Guide to a Healthy Heart</span></span></span></a><span><span>. Although these resources focus on heart health, they include basic information about how to quit smoking. For free help and support to quit smoking, call the National Cancer Institute’s Smoking Quitline at 1-877-44U-QUIT (1-877-448-7848).</span></span></span></span></li>
	<li><span><span><a href="https://www.nhlbi.nih.gov/health/heart-healthy-living/healthy-foods" rel="noreferrer"><strong><span><span><span>Choose heart-healthy foods</span></span></span></strong></a><strong><span><span><span>,</span></span></span></strong><span><span> such as those in the </span></span><a href="https://www.nhlbi.nih.gov/education/dash-eating-plan" rel="noreferrer"><span><span><span>DASH eating plan</span></span></span></a><span><span>. A heart-healthy eating plan includes fruits, vegetables, and whole grains and limits saturated fats, </span></span></span></span><span><span class="entity-embed node entity-embed-glossary_term"><a class="glossary-term" href="#" title="Definition of sodium " alt="Definition of sodium" data-term="sodium" data-pronunciation="SOH-dee-um" data-definition="A chemical element, represented by the symbol Na. Salt is commonly found in nature and the body. Sodium can combine with other chemical elements or molecules. It is often found with another chemical element, chlorine (Cl), to form sodium chloride (NaCl), or table salt that is used to cook or is added to processed or prepackaged foods. The body needs certain amounts of sodium to keep fluids in balance. Too much sodium can cause the body to retain water. It can also lead to high blood pressure." role="link">
		sodium
	</a></span></span><span><span><span><span>, added sugars, and alcohol.</span></span></span></span></li>
	<li><span><span><a href="https://www.nhlbi.nih.gov/health/heart-healthy-living/healthy-weight" rel="noreferrer"><strong><span><span><span>Aim for a healthy weight</span></span></span></strong></a><strong><span><span><span>. </span></span></span></strong><span><span>If you have </span></span><a href="https://www.nhlbi.nih.gov/health/overweight-and-obesity" rel="noreferrer"><span><span>overweight,</span></span></a><span><span> losing just 3% to 5% of your current weight can help you manage some PAD risk factors, such as high blood cholesterol and diabetes. Losing even more weight can lower your blood pressure.</span></span></span></span></li>
	<li><span><span><a href="https://www.nhlbi.nih.gov/health/heart-healthy-living/physical-activity" rel="noreferrer"><strong><span><span><span>Get regular physical activity</span></span></span></strong></a><strong><span><span><span>.</span></span></span></strong><span><span> Staying physically active can help you manage PAD risk factors such as high blood cholesterol, high blood pressure, and overweight or obesity. Before starting any exercise program, ask your provider what level of physical activity is right for you.</span></span></span></span></li>
	<li><span><span><a href="https://www.nhlbi.nih.gov/health/heart-healthy-living/manage-stress" rel="noreferrer"><strong><span><span><span>Manage stress</span></span></span></strong></a><strong><span><span><span>. </span></span></span></strong><span><span>Learning how to manage stress, relax, get good-quality sleep, and cope with problems can improve your emotional and physical health.</span></span></span></span></li>
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<h2 class="field--name-field-component-section-titl component-section-section-title">Exercise programs</h2>

            <div class="field field--name-field-component-section-content field--type-text-long field--label-hidden clearfix field__item"><p><span><span><span><span><span>Physical activity often works well to relieve PAD symptoms and improve your ability to walk and carry out daily activities. Regular physical activity can improve the circulation in your legs. Exercise can reduce </span></span></span></span></span><span><span class="entity-embed node entity-embed-glossary_term"><a class="glossary-term" href="#" title="Definition of inflammation " alt="Definition of inflammation" data-term="inflammation" data-pronunciation="IN-fluh-MAY-shun" data-definition="A reaction to injury of the body. The signs of inflammation are swelling, redness, or pain." role="link">
		inflammation
	</a></span></span><span><span><span><span><span> and help your blood vessels work better.</span></span></span></span></span></p>

<h3><span><span><span><span>Supervised exercise</span></span></span></span></h3>

<p><span><span><span><span><span>Your provider may recommend a supervised exercise program that takes place in a clinic or a hospital. The exercise program may be part of a more complete </span></span></span><a href="https://www.nhlbi.nih.gov/health/heart-treatments-procedures" rel="noreferrer"><span><span>cardiac rehabilitation </span></span></a><span><span><span>program.</span></span></span></span></span></p>

<p><span><span><span><span><span>PAD exercise programs usually meet at least 3 times a week and last between 3 months and 9 months. The most common type of exercise in these programs is treadmill walking. Other programs may use a device to exercise the upper body. Talk with your provider about your options for exercise programs.</span></span></span></span></span></p>

<h3><span><span><span><span>Home exercise programs</span></span></span></span></h3>

<p><span><span><span><span><span>Your provider may recommend a home-based exercise program with coaching that is similar to a supervised exercise program in a clinic. Home-based programs usually involve walking outside instead of on a treadmill. Your provider will talk with you to help you understand how to follow the program. Each exercise session lasts 30 to 50 minutes. The goal is to work up to at least 30 minutes of continuous walking.</span></span></span></span></span></p>

<p><span><span><span><span><span>These programs include health coaching or activity monitors. Some home-based programs include regular check-ins with a coach by telephone. Talk with your provider regularly about your progress.</span></span></span></span></span></p></div>
      
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<h2 class="field--name-field-component-section-titl component-section-section-title">Medicines</h2>

            <div class="field field--name-field-component-section-content field--type-text-long field--label-hidden clearfix field__item"><p><span><span><span><span><span>Your provider may prescribe medicines to treat PAD and prevent complications. These may include:</span></span></span></span></span></p>

<ul><li><span><span><span><span><strong><span><span>Antiplatelet medicines,</span></span></strong><span><span> such as aspirin or clopidogrel, prevent blood clots from forming and narrowing the arteries even further. These medicines also lower the risk of </span></span><a href="https://www.nhlbi.nih.gov/health/heart-attack" rel="noreferrer"><span><span>heart attack</span></span></a><span><span> or </span></span><a href="https://www.nhlbi.nih.gov/health/stroke" rel="noreferrer"><span><span>stroke</span></span></a><span><span>. Possible side effects include bleeding or an allergic reaction. One type of antiplatelet medicine, cilostazol, may also improve your symptoms and make walking easier. Possible side effects of cilostazol include headache, diarrhea, </span></span><span><span>heart palpitations</span></span><span><span>, and dizziness. Providers may also recommend an </span></span><span><span>anticoagulant medicine</span></span><strong><span><span>,</span></span></strong><span><span> or blood thinner, to help prevent </span></span></span></span></span></span><span><span class="entity-embed node entity-embed-glossary_term"><a class="glossary-term" href="#" title="Definition of blood clot " alt="Definition of blood clot" data-term="blood clot" data-pronunciation="blud klot" data-definition="A gel-like clump that forms when blood changes from a liquid to a solid state. Blood clots are necessary to help stop bleeding after an injury. An abnormal blood clot that forms inside an artery or vein is called a thrombus. A piece of the blood clot, called an embolus, can break off and move through the bloodstream. The embolus can block blood flow in another part of the body, such as the brain or lungs." role="link">
		blood clot
	</a></span></span><span><span><span><span><span><span>.</span></span></span></span></span></span></li>
	<li><strong><span><span class="entity-embed node entity-embed-glossary_term"><a class="glossary-term" href="#" title="Definition of Statin " alt="Definition of Statin" data-term="Statin" data-pronunciation="STA-tin" data-definition="Drug that lowers the amount of cholesterol and certain fats in the blood." role="link">
		Statins
	</a></span></span></strong><span><span><span><strong><span><span><span> lower cholesterol and certain fats in the blood, </span></span></span></strong><span><span><span>and can<strong><span><span><span> </span></span></span></strong>slow the progression of plaque buildup in the arteries that is causing symptoms. Statins also lower your risk of complications from PAD.</span></span></span><strong> </strong><span><span><span>Side effects are rare but may include muscle pain or damage. </span></span></span></span></span></span></li>
	<li><span><span><span><span><strong><span><span>ACE inhibitors and angiotensin II receptor blockers (ARBs) or other medicines </span></span></strong><span><span>lower blood pressure and prevent blood vessels from narrowing.</span></span></span></span></span></span></li>
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<h2 class="field--name-field-component-section-titl component-section-section-title">Procedures or surgery</h2>

            <div class="field field--name-field-component-section-content field--type-text-long field--label-hidden clearfix field__item"><p><span>If lifestyle changes, an exercise program, and medicines do not work well enough, your provider may recommend a medical procedure or surgery.</span></p><ul><li><span><strong>Angioplasty</strong> is a procedure to open narrowed or blocked arteries. The doctor may inflate a small balloon in the artery to flatten the plaque. Sometimes the balloon is coated with medicine to help the artery heal. Your doctor may also insert a small mesh tube called a </span><a href="https://www.nhlbi.nih.gov/health/stents" rel="noreferrer"><span>stent</span></a><span> to reduce the chances that the artery will narrow again.</span></li></ul><figure role="group" class="align-center b-loaded caption caption-img "><img alt="The image shows the three steps of an angioplasty procedure. The first picture shows the balloon and stent inserted in the artery. The center image shows the balloon being inflated and the artery starting to expand. The third image shows the artery after the balloon has been removed and the stent remains behind to hold the vessel open." data-entity-type="file" data-entity-uuid="5b4cba28-71a8-4cb1-b335-927026c98147" height="360" width="480" data-src="/sites/default/files/inline-images/NHLBI_Fig02_final03_0.jpg" src="/modules/custom/nhlbi_blazy/images/clear.png" class="b-lazy" /><figcaption><em>The image shows the three steps of an angioplasty procedure. The first picture shows the balloon and stent inserted in the artery. The center image shows the balloon being inflated and the artery starting to expand. The third image shows the artery after the balloon has been removed and the stent remains behind to hold the vessel open.</em></figcaption></figure><ul><li><span><strong>Bypass surgery</strong> may be used to treat severe pain, heal wounds, or save a damaged foot or leg when angioplasty is not as likely to work. In this procedure, your surgeon uses a piece of another blood vessel from your body or an artificial vessel to create a new path around a blocked artery in your leg.</span></li></ul><figure role="group" class="align-center b-loaded caption caption-img "><img alt="Bypass surgery to restore blood flow in a leg affected by PAD. The first image shows a leg with a blocked artery. The center image shows the doctor making an opening in the leg to remove the section of the artery that is blocked. The third image shows when the doctor opens the leg in another place to collect a section of a healthy vein. In the center and bottom images on the right side, the blocked part of the artery is replaced with the healthy section of vein. Medical Illustration" data-entity-type="file" data-entity-uuid="88cffa4c-f9d3-4d05-9781-be95b2371435" data-image-style="" height="374" width="498" data-src="/sites/default/files/inline-images/19-0505-NHLBI-OY1-Q3-FHT-Peripheral-Artery-Disease_PAD-Nucleus-illustration_900px_1.jpg" src="/modules/custom/nhlbi_blazy/images/clear.png" class="b-lazy" /><figcaption><em><strong>Bypass surgery to restore blood flow in a leg affected by PAD. </strong>The first image shows a leg with a blocked artery. The center image shows the doctor making an opening in the leg to remove the section of the artery that is blocked. The third image shows when the doctor opens the leg in another place to collect a section of a healthy vein. In the center and bottom images on the right side, the blocked part of the artery is replaced with the healthy section of vein. </em><a href="http://www.nucleuscatalog.com/" rel="noreferrer"><em>Medical Illustration Copyright © 2022 Nucleus Medical Media. All rights reserved</em></a><em>. </em></figcaption></figure></div>
      
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