ABORDAGENS TERAPÊUTICAS COMBINADAS EM PACIENTES COM DOENÇA ARTERIAL OBSTRUTIVA PERIFÉRICA E DOENÇA ARTERIAL CORONARIANA: UMA REVISÃO INTEGRATIVA

Abstract

This study conducts an integrative review of combined therapeutic approaches for patients with Peripheral Arterial Disease (PAD) and Coronary Artery Disease (CAD). The objective was to evaluate the effectiveness of pharmacological, invasive, and non-pharmacological interventions, such as supervised physical exercise and psychological support. Evidence shows that combining therapies is essential to improve clinical outcomes and the quality of life of patients. The analysis included studies utilizing emerging technologies, such as infrared thermography, to monitor treatment, which proved promising in personalizing therapies. However, it was noted that accessibility to these technologies remains a challenge, especially in low-income healthcare systems. Additionally, integrating psychological support is crucial to ensure treatment adherence and maximize long-term results. The conclusions indicate that applying integrated therapeutic approaches, considering clinical, behavioral, and technological factors, is the best practice for effectively managing patients with PAD and CAD. It is recommended to develop new clinical guidelines that incorporate these innovations, focusing on accessible and personalized practices to enhance patient care and outcomes.