Polyvascular Disease: Reappraisal of the Current Clinical Landscape

Circ Cardiovasc Interv. 2019 Dec;12(12):e007385. doi: 10.1161/CIRCINTERVENTIONS.119.007385. Epub 2019 Dec 13.

Abstract

Atherosclerosis within 2 or more arterial beds has been termed polyvascular disease. Although polyvascular disease has long been associated with heightened cardiovascular risk, much is still unknown regarding its pathophysiology and management. In this past decade, the field of cardiovascular disease has experienced exponential growth in terms of antithrombotic and lipid-lowering therapies aimed at mitigating ischemic events. This review describes the inherent risk associated with polyvascular disease in contemporary observational and clinical trial populations and summarizes novel therapies in this high-risk population.

Keywords: atherosclerosis; cardiovascular diseases; lipids; myocardial infarction; stroke.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Atherosclerosis / diagnostic imaging
  • Atherosclerosis / mortality
  • Atherosclerosis / physiopathology
  • Atherosclerosis / therapy*
  • Cerebrovascular Disorders / diagnostic imaging
  • Cerebrovascular Disorders / mortality
  • Cerebrovascular Disorders / physiopathology
  • Cerebrovascular Disorders / therapy*
  • Coronary Artery Disease / diagnostic imaging
  • Coronary Artery Disease / mortality
  • Coronary Artery Disease / physiopathology
  • Coronary Artery Disease / therapy*
  • Disease Progression
  • Humans
  • Observational Studies as Topic
  • Peripheral Arterial Disease / diagnostic imaging
  • Peripheral Arterial Disease / mortality
  • Peripheral Arterial Disease / physiopathology
  • Peripheral Arterial Disease / therapy*
  • Prognosis
  • Randomized Controlled Trials as Topic
  • Risk Assessment
  • Risk Factors