Skip navigation oxford journals contact us my basket my account qjm: an international journal of medicine about this journal contact this journal subscriptions view current issue (volume cv issue 10 october 2012) archive search oxford journals medicine qjm: an international journal of medicine volume 92 issue 4 pp. how to get free viagra online 219-222. is viagra good for a 20 year old Cholesterol in peripheral vascular disease—a suitable case for treatment? A. safe take viagra after expiration date L. real viagra online without prescription Clark , j. C. safe take viagra after expiration date Byrne , a. viagra 20 mg how long does it take to work Nasser , e. Mcgroarty and j. A. Kennedy from the department of cardiology, western infirmary, glasgow and 1directorate of general and ent surgery, gartnaval general hospital, glasgow, uk dr a. L. Clark, department of cardiology, western infirmary, dumbarton road, glasgow g11 6nt. buy viagra canada E-mail: alclark1{at}compuserve. Com received october 22, 1998. Revision received february 3, 1999. Abstract we assessed the prevalence of conventional risk factors for ischaemic heart disease in patients with peripheral vascular disease, and the scope for preventative treatment with lipid-lowering therapy in this group, by retrospectively reviewing 299 patients who had undergone peripheral angiography in 1996. A total of 278 patients had severe peripheral vascular disease; 44% were current smokers at the time of their angiogram, and 36% had a history of coronary artery disease (either myocardial infarction, coronary artery bypass surgery, coronary angioplasty or angina). Cholesterol had been measured in 80 (27%) patients, of whom 26 (9%) were receiving treatment for hypercholesterolaemia. buy generic viagra Patients with a history of ischaemic heart disease were more likely to have had their cholesterol measured (50% vs. order viagra 15%; p<0. cheap generic viagra 001). Hypertension (defined as systolic >160 mmhg or diastolic >90 mmhg) was present in 44%. viagra discount online There was no difference in the distribution of risk factors between those with and those without known ischaemic heart disease. There is a high prevalence of modifiable risk factors for coronary disease in patients with severe peripheral vascular disease. Effective prevention is available for coronary artery disease, but we found low levels of treatment. There is considerable.