Peripheral Artery Disease (PAD) is often thought of as a condition that only affects the legs—but the truth is far more serious. PAD is not just a localized circulation issue; it’s a warning sign of widespread arterial disease. Individuals with PAD face a significantly higher risk of both heart attack and stroke.
Understanding this connection is essential—not just for managing leg symptoms, but for protecting your life.

PAD Is a Red Flag for Systemic Atherosclerosis
PAD occurs when fatty deposits (plaques) narrow the arteries in the legs, limiting blood flow. But the same atherosclerotic process usually affects arteries throughout the body—including those supplying the heart and brain.
If you have PAD, there’s a 70% chance you also have coronary or cerebrovascular disease, even if you don’t have symptoms yet.
🔗 Trusted Reference – Mayo Clinic on PAD and cardiovascular risk
The Link Between PAD, Heart Attack, and Stroke
PAD is considered a cardiovascular risk equivalent—meaning your likelihood of having a heart attack or stroke is similar to someone who already has heart disease.
Here’s how PAD contributes to cardiovascular events:
- Plaque instability in one artery often signals similar instability elsewhere
- Reduced circulation affects oxygen delivery to vital organs
- Inflammation and endothelial damage from PAD promote clot formation
- Coexisting risk factors like diabetes, hypertension, and smoking multiply the danger
Alarming Statistics
the statistics from a publication on Mayo clinic website are truly alarming
- 1 in 3 people with PAD will die within 5 years of PAD diagnosis
- 1:5 will suffer heart attacked or stroke
- Many individuals with PAD are asymptomatic, so risk remains hidden
Warning Signs You Shouldn’t Ignore
While PAD often causes leg symptoms, the underlying cardiovascular risk can be silent. Be alert to:
- Chest pain or pressure
- Shortness of breath
- Leg pain while walking (claudication)
- Numbness or weakness in arms or legs
- Transient vision loss or slurred speech
How to Reduce Your Risk
1. Get Diagnosed Early
If you have risk factors—age over 50, diabetes, smoking history, or high cholesterol—schedule a vascular screening. We use Doppler ultrasound and ABI testing for early PAD detection.
2. Control Underlying Conditions
Managing high blood pressure, cholesterol, and blood sugar levels significantly reduces your cardiovascular risk.
3. Adopt Lifestyle Changes
- Quit smoking
- Follow a heart-healthy diet
- Exercise regularly
- Maintain a healthy weight
4. Medical & Surgical Options
In advanced PAD, angioplasty, stenting, or bypass surgery may be required to restore circulation and reduce heart stress.
FAQs
Q1: Why does PAD increase the risk of stroke?
PAD reflects widespread arterial damage, including in the neck (carotid arteries). If plaques travel to the brain or cause clots, stroke can result.
Q2: Should all PAD patients take blood thinners?
Your doctor may prescribe antiplatelet therapy like aspirin or clopidogrel to reduce clot risk, depending on your overall cardiovascular profile.
Q3: Can treating PAD reduce my heart attack risk?
Yes. By addressing the underlying vascular disease and modifying risk factors, you not only improve leg symptoms but dramatically lower your risk of heart-related events.
When to See a Vascular Specialist in Dubai
If you’ve been diagnosed with PAD—or have symptoms like leg pain or cold feet—don’t delay evaluation. Treating PAD is not just about improving mobility—it’s about preventing life-threatening events.
📞 Book your consultation with Dr. Soroush Sohrabi, consultant vascular and endovascular surgeon in Dubai or visit vascular-surgeon.ae.

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