Case History

I,—A retired 61-year-old man is beginning to develop symptoms of intermittent claudication U^J affecting his right calf. Foot examination reveals loss of dorsalis pedis and posterior tibial pulses on his right foot. His ankle-brachial pressure index (ABPI) is 0.72 taken in his affected limb. He does not smoke and you encourage him to continue to walk to stimulate collateral circulation. He is not keen for surgical intervention.

Discuss lifestyle measures that he should adopt. What is the medical management for his problem?

Discuss emerging treatment for the management of peripheral vascular disease

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