Peripheral arterial disease pad is a chronic arterial occlusive disease of the lower extremities caused by atherosclerosis pad may cause intermittent claudication which is pain or weakness with walking that is relieved with rest only one half of elderly persons with documented pad are symptomatic. Symptomatic and asymptomatic peripheral arterial disease pad is a common problem in the elderly the management of pad includes the prevention of cardiovascular events and relief of symptoms most commonly intermittent claudication ic. There are now many texts on heart disease in the elderly to the best of my knowledge however this is the first on vascular disease in the elderly vascular disease is a major cause of morbidity and mortality in older americans and one that has been largely ignored or treated as an orphan of mainstream cardiology. Chapter 13 vascular disease in the elderly nobuyuki bill miyawaki and paula e lester division of nephrology and division of geriatrics winthrop university hospital mineola new york physiologic effects of aging on blood vessel elasticity and compliance the aging process is commonly associated with in. Vascular disease in the elderly patients with renal vascular disease have a significantly worse prognosis than other diagnostic groups most likely due to their older age underlying vascular
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