Question

A 67-year-old man has calf claudication after walking 150 metres, relieved by rest. He is a smoker with poorly controlled hypertension and hyperlipidaemia. Ankle–brachial pressure index is 0.6. What is the most appropriate initial management strategy?

Accepted Answer

Supervised exercise programme and risk factor modification with antiplatelet and statin therapy

Answer

Immediate femoropopliteal bypass surgery

Answer

Long-term bed rest to reduce symptoms

Answer

Start warfarin anticoagulation

Answer

No treatment is needed as symptoms are mild

Practice question

A 67-year-old man has calf claudication after walking 150 metres, relieved by rest. He is a smoker with poorly controlled hypertension and hyperlipidaemia. Ankle–brachial pressure index is 0.6. What is the most appropriate initial management strategy?