The angiogram depicted below is most typical of the patient whose history includes
Correct Answer: Cigarette smoking
Description: The angiogram presented in the question demonstrates an isolated segment of atherosclerotic occlusion of the superficial femoral artery. Patients who have isolated femoropopliteal disease tend to be smokers, whereas those who have isolated tibioperoneal disease frequently are diabetic. Hypertension and hyperlipidemia predispose to accelerated atherosclerosis. On the other hand, type I hyperlipoproteinemia (hyperchylomicronemia), which is associated with dramatic levels of plasma triglyceride and formation of xanthomas, does not cause accelerated vascular disease.
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Surgery
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