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World J Cardiol. Apr 26, 2023; 15(4): 142-153
Published online Apr 26, 2023. doi: 10.4330/wjc.v15.i4.142
Optimization of the pharmacological therapy in patients with poly-vascular disease: A multidisciplinary approach
Rocco Gioscia, Claudio Castagno, Monica Verdoia, Barbara Conti, Enzo Forliti, Andrea Rognoni
Rocco Gioscia, Monica Verdoia, Andrea Rognoni, Department of Cardiology, Nuovo Ospedale Degli Infermi, Biella 13900, Italy
Claudio Castagno, Barbara Conti, Enzo Forliti, Department of Vascular Surgery, Nuovo Ospedale Degli Infermi, Biella 13900, Italy
Author contributions: Gioscia R, Castagno C, and Verdoia M contributed to manuscript writing and data collection; Conti B, Forliti E, and Rognoni A contributed to scientific revision; All authors have approved the final draft of the manuscript.
Conflict-of-interest statement: All the authors declare that they have no conflict of interest.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Andrea Rognoni, MD, Chief Physician, Department of Cardiology, Nuovo Ospedale Degli Infermi, via dei Ponderanesi, Biella 13900, Italy. andrea.rognoni@aslbi.piemonte.it
Received: January 3, 2023
Peer-review started: January 3, 2023
First decision: March 15, 2023
Revised: March 27, 2023
Accepted: April 7, 2023
Article in press: April 7, 2023
Published online: April 26, 2023
Core Tip

Core Tip: Patients with concomitant coronary and peripheral artery disease, i.e. poly-vascular disease, represent a subset of patients with higher risk and worse prognosis. In these patients antithrombotic and antilipidemic drugs should be tailored in order to achieve the most aggressive combination tolerated for each patient. Multidisciplinary approach, involving both a cardiologist and vascular surgeon, combining different therapeutic goals and perspectives, could provide additional benefits in the correct management of poly-vascular patients.