Abordagem da doença arterial obstrutiva periférica na Atenção Primária à Saúde: um relato de caso

Hassã Pereira Lemos; Marianny da Silva Barreto; Marília de Oliveira Cunha; Maria Clara Sousa Evangelista Vieira; Thaynã Albuquerque da Silva; Isadora Teixeira de Freitas Cavalcante; Rebeca Alvares Dias; Wellison Gil Magalhães de Almeida

doi:10.5712/rbmfc21(48)4504

Authors

Hassã Pereira Lemos Universidade Christus, Medical School – Fortaleza (CE), Brazil https://orcid.org/0000-0003-0162-5857
Marianny da Silva Barreto Universidade Christus, Medical School – Fortaleza (CE), Brazil https://orcid.org/0000-0003-4057-0262
Marília de Oliveira Cunha Universidade Christus, Medical School – Fortaleza (CE), Brazil https://orcid.org/0000-0001-9705-9647
Maria Clara Sousa Evangelista Vieira Universidade Christus, Medical School – Fortaleza (CE), Brazil
Thaynã Albuquerque da Silva Universidade Christus, Medical School – Fortaleza (CE), Brazil https://orcid.org/0000-0002-5983-8313
Isadora Teixeira de Freitas Cavalcante Universidade Christus, Medical School – Fortaleza (CE), Brazil
Rebeca Alvares Dias Universidade Christus, Medical School – Fortaleza (CE), Brazil
Wellison Gil Magalhães de Almeida Universidade Christus, Medical School – Fortaleza (CE), Brazil

DOI:

https://doi.org/10.5712/rbmfc21(48)4504

Keywords:

Peripheral artery disease, Ankle-brachial index, Primary health care, Case reports

Abstract

Introduction: Peripheral Artery Disease (PAD) is among the leading causes of cardiovascular morbidity. Although its classic symptom is intermittent claudication, it is not present in all patients, especially in older adults. The main risk factors for the development of this disease are aging, with a higher incidence after 50 years of age; smoking; sedentary lifestyle; systemic arterial hypertension; diabetes mellitus; dyslipidemia; and a history of coronary and cerebrovascular disease. The Ankle-Brachial Index (ABI) is the gold standard method for diagnosing PAD and can be performed in outpatient settings by any healthcare professional. Case Presentation: A case of severe PAD was identified in Primary Health Care (PHC) using the ABI and effectively managed by the attending physician, resulting in significant improvement in symptoms. Conclusions: Early identification of PAD in PHC improves patients’ quality of life and reduces the negative consequences of underdiagnosis. Therefore, PHC, through its attributes of longitudinality and first-contact care, plays a key role in the diagnosis and management of PAD.

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Author Biographies

Hassã Pereira Lemos, Universidade Christus, Medical School – Fortaleza (CE), Brazil

Maria Clara Sousa Evangelista Vieira, Universidade Christus, Medical School – Fortaleza (CE), Brazil

Thaynã Albuquerque da Silva, Universidade Christus, Medical School – Fortaleza (CE), Brazil

Isadora Teixeira de Freitas Cavalcante , Universidade Christus, Medical School – Fortaleza (CE), Brazil

Rebeca Alvares Dias , Universidade Christus, Medical School – Fortaleza (CE), Brazil

Wellison Gil Magalhães de Almeida, Universidade Christus, Medical School – Fortaleza (CE), Brazil

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