What is the first-line management offered to a patient with troublesome intermittent claudication?
Answer and explanation
Correct answer: A. A supervised exercise programme plus a statin and an antiplatelet
- Step 1: Claudication is calf pain on walking caused by peripheral arterial disease. Step 2. Supervised exercise improves walking distance, and risk factor management with a statin and antiplatelet reduces cardiovascular events. Answer: A supervised exercise programme plus a statin and an antiplatelet. Why not the others: Surgery is for failure of conservative therapy or critical limb ischaemia. Warfarin is not indicated for stable claudication. Rest worsens fitness without treating the arteries.
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