Juan David Coellar

Oct 7, 2024 | jamanetwork.com | James Miller |Neil Keshvani |Juan David Coellar

A 62-year-old woman with hypertension, hyperlipidemia, coronary artery disease, and 7.5–pack-year smoking history presented to cardiology clinic with bilateral, aching leg pain triggered by walking and relieved by rest. After several months of worsening pain, she became unable to walk to her mailbox without symptoms. She had no pain at rest or nonhealing extremity wounds. Lower extremity pulses were nonpalpable.