chapter  14
Secondary care referral
Pages 8

All patients with peripheral vascular disease (PVD) merit proper assessment. Most patients with intermittent claudication present at between 55 and 60 years of age. In most cases a conservative approach is all that is required, and this can be effectively delivered by a primary care physician. A primary care team can easily provide control of blood pressure, antiplatelet therapy, diabetic control and advice on stopping smoking and increasing exercise.