Question

A 68-year-old smoker presents with intermittent claudication. An ankle-brachial pressure index (ABPI) of 0.6 is found. According to NICE guidelines, what is the best initial management strategy to improve his symptoms?

Accepted Answer

Smoking cessation and supervised exercise programme

Answer

Immediate angioplasty

Answer

Start aspirin and clopidogrel

Answer

Lumbar sympathectomy

Answer

Prescribe intravenous prostanoids

Practice question

A 68-year-old smoker presents with intermittent claudication. An ankle-brachial pressure index (ABPI) of 0.6 is found. According to NICE guidelines, what is the best initial management strategy to improve his symptoms?