Peripheral artery disease (PAD)

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Risk factors

By Mayo Clinic staff

Factors that increase your risk of developing peripheral artery disease include:

  • Smoking
  • Diabetes
  • Obesity (a body mass index over 30)
  • High blood pressure (140/90 millimeters of mercury or higher)
  • High cholesterol (total blood cholesterol over 240 milligrams per deciliter, or 6.2 millimoles per liter)
  • Increasing age, especially after reaching 50 years of age
  • A family history of peripheral artery disease, heart disease or stroke
  • Excess levels of homocysteine, a protein component that helps build and maintain tissue

People who smoke or have diabetes have the greatest risk of developing peripheral artery disease due to reduced blood flow.

References
  1. Peripheral artery disease. The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merck.com/mmpe/print/sec07/ch080/ch080f.html. Accessed Feb. 8, 2010.
  2. Peripheral artery disease. National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/dci/Diseases/pad/pad_all.html. Accessed Feb. 6, 2010.
  3. Mohler III ER. Clinical features, diagnosis, and natural history of lower extremity peripheral arterial disease. http://www.uptodate.com/home/index.html. Accessed Jan. 29, 2010.
  4. Peripheral artery disease (PAD). Society for Vascular Surgery. http://www.vascularweb.org/patients/NorthPoint/Leg_Artery_Disease.html. Accessed Feb. 6, 2010.
  5. Hankey GJ. Medical treatment of peripheral artery disease. Journal of the American Medical Association. 2006;295:547.
  6. Peripheral vascular disease. American Heart Association. http://www.americanheart.org/presenter.jhtml?identifier=4692. Accessed Feb. 6, 2010.
  7. Hirsch AT, et al. ACC/AHA 2005 guidelines for the management of patients with peripheral arterial disease. Journal of the American College of Cardiology. 2006;47:e1.
  8. Langlois M, et al. Serum vitamin C concentration is low in peripheral arterial disease and is associated with inflammation and severity of atherosclerosis. Circulation. 2001;103:1863.
  9. Lane JS, et al. Nutrition impacts the prevalence of peripheral arterial disease in the United States. Journal of Vascular Surgery. 2008;48:897.
  10. Kuller LH. Does gingko biloba reduce the risk of cardiovascular events? Circulation: Cardiovascular Quality and Outcomes. 2010;3:41.
  11. Anderson CF (expert opinion). Mayo Clinic. Rochester, Minn. Feb. 9, 2010.
DS00537 April 21, 2010

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