Intermittent claudication: from history to modern era

Yu.A. Vinogradova

N.V. Sklifosovsky Research Institute of First Aid, Moscow

Chronic obliterating diseases of the lower limb arteries (CODLLA) are an urgent problem in vascular surgery, occupying one of the leading places in the incidence and disability of the population. The most common variant of chronic lower limb arterial insufficiency can be considered the stage of intermittent claudication, when, as a rule, the patient visits a doctor for the first time. Intermittent claudication is characterized as a syndrome that occurs in the setting of occlusal-stenotic processes in the lower limb arteries, subjectively manifested by pain, seizures during physical exertion, which are neutralized when it stops.

The article deals with the intermittent claudication syndrome history from the moment of its discovery to modern approaches in treatment. Patient treatment with peripheral atherosclerosis consists of measures aimed at stabilizing the atherosclerotic process and recovery (comm only, it is only about improving) of the limb arterial circulation. The basic principles of CODLLA conservative therapy are presented; the role of dosed physical activity is indicated, as well as the value of peripheral vasodilators (pentoxifylline, cilostazol) in the comprehensive treatment of intermittent claudication.

Keywords: chronic obliterating diseases of the lower limb arteries, intermittent claudication, claudication, peripheral artery disease, conservative therapy, pentoxifylline, cilostazol, Pletax.

For citation: Vinogradova Yu.A. Intermittent claudication: from history to modern era. RMJ. 2019;8(II):90–93.