The Impact of Mental Health on Patient Outcomes in Peripheral Arterial Disease and Critical Limb Threatening Ischemia and Potential Avenues to Treatment

Imani E McElroy; Luis Suarez; Tze-Woei Tan

doi:10.1016/j.avsg.2024.01.028

The Impact of Mental Health on Patient Outcomes in Peripheral Arterial Disease and Critical Limb Threatening Ischemia and Potential Avenues to Treatment

Ann Vasc Surg. 2024 Apr 4:S0890-5096(24)00161-4. doi: 10.1016/j.avsg.2024.01.028. Online ahead of print.

Authors

Imani E McElroy¹, Luis Suarez¹, Tze-Woei Tan²

Affiliations

¹ Vascular and Endovascular Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA.
² Division of Vascular Surgery, Keck School of Medicine at University of Southern California, Los Angeles, CA. Electronic address: tze-woei.tan@med.usc.edu.

PMID: 38582197
DOI: 10.1016/j.avsg.2024.01.028

Abstract

The physical consequences of peripheral artery disease (PAD) are well established; however, the impact of comorbid mental health disorders such as depression and anxiety are not well understood. The impact of psychological stress is not only associated with worse perioperative morbidity and mortality but also with a physiologic cascade that accelerates plaque formation. Increasing screening to identify and subsequently treat comorbid mental health disorders is an integral next step in improving outcomes in PAD management. Failure to adequately address social and psychological impact on PAD patients will further widen the gap in disparities faced by high-risk and disenfranchised populations. Integration of mental health professionals, addiction specialists, and community navigators into multidisciplinary care teams can bolster support for PAD patients and improve outcomes.