Microcirculation and tissue metabolism in peripheral arterial disease.

Abstract:

:It is now clear that different pathophysiologic mechanisms have a profound influence on the extent of the functional impairment in intermittent claudication. In particular, metabolic derangements, including impaired oxygen delivery and/or extraction, reduced nitric oxide synthesis, reduced glucose oxidation, accumulation of toxic metabolites and reduction in carnitine availability are correlated with disease severity. Therefore, metabolic interventions aimed at counteracting these alterations may represent a valid therapeutic approach to the treatment of this condition. To date, verapamil and L-arginine efficacy has been proven in few patients; a large scale clinical trial, conversely, reports that propionyl-L-carnitine appears to be an effective and well tolerated drug for the treatment of intermittent claudication.

authors

Brevetti G,Corrado S,Martone VD,Di Donato A,Silvestro A,Vanni L

subject

Has Abstract

pub_date

1999-01-01 00:00:00

pages

245-54

issue

3-4

eissn

1386-0291

issn

1875-8622

journal_volume

21

pub_type

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