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Cardiovascular, Case 0091 — Peripheral Arterial Disease

Cilostazol Against a Borderline Ejection Fraction She Didn't Know She Had

Cilostazol is a Class I recommendation for her claudication, and she doesn't have diagnosed heart failure. An incidental echo finding sits close enough to the drug's real contraindication that the guideline's confidence stops feeling sufficient on its own.

Abbreviations, terms, and other agents mentioned in this case PAD — peripheral arterial disease  ·  ABI — ankle-brachial index  ·  EF — ejection fraction  ·  PDE-3 — phosphodiesterase type 3  ·  Class 1 / Class 3 — guideline recommendation tiers: Class 1 means the intervention is recommended (benefit clearly outweighs risk), Class 3 means it is not recommended or is harmful
Presentation

C.P., a 66-year-old woman, spent decades working as a seamstress in a garment factory before it closed, and still hems and alters clothes for neighbors from her sewing room as a small side income. She has known peripheral arterial disease with an ankle-brachial index of 0.68, and lifestyle-limiting calf claudication — pain reliably onset after about one block of walking, which has started interfering with the short trips to deliver finished work that she used to make on foot. She completed twelve weeks of supervised exercise therapy alongside a high-intensity statin, with only modest improvement in her walking distance, bringing her back to discuss further options.

An echocardiogram obtained three months ago for an unrelated reason — a murmur her PCP wanted characterized — showed an ejection fraction of 48%, mildly reduced, asymptomatic, with no formal heart failure diagnosis and no prior cardiac symptoms of any kind. Cilostazol carries a Class 1 recommendation in the 2024 ACC/AHA multisociety peripheral artery disease guideline for exactly her situation, lifestyle-limiting claudication after a failed exercise-alone trial, with documented 40–60% improvement in walking distance; it also carries an absolute contraindication in heart failure of any severity, based on a class-wide mortality signal seen with other phosphodiesterase-III inhibitors in more advanced heart failure populations. She does not meet that formal contraindication — she has no heart failure diagnosis at all — but an ejection fraction of 48%, found incidentally and never followed up, sits close enough to that boundary that treating the guideline's Class I recommendation as the whole answer stopped feeling right the moment her echo came up in the chart.

C.P. · 66 Claudication Follow-up, Post-Exercise Trial
History
PAD, ABI 0.68, lifestyle-limiting claudication
Therapy to date
12 weeks supervised exercise + high-intensity statin, modest improvement
Incidental finding
EF 48% on echo 3 months ago (obtained for murmur workup), asymptomatic
Heart failure diagnosis
None — no symptoms, no prior diagnosis
Renal/hepatic function
Both normal
Current medications
Atorvastatin; aspirin 81 mg daily (Class 1 antiplatelet therapy for symptomatic PAD)

At the vascular medicine follow-up

Vascular Medicine Physician Opening

She's exactly who cilostazol is meant for — failed a genuine supervised exercise trial, lifestyle-limiting symptoms, no diagnosed heart failure. The guideline recommendation is Class 1, Level A, with real evidence behind it — 40 to 60% improvement in walking distance in the trials that established it. I'd start 100 mg twice daily.

Cardiologist Response

I want to flag the EF of 48% directly rather than let it pass as background. She doesn't meet the formal contraindication, but that finding was incidental, never followed up, and we don't actually know its trajectory. Cilostazol's contraindication exists because of a class-wide mortality signal in heart failure, and an unconfirmed, borderline-reduced EF is close enough to that boundary that I'd want to know more before starting a PDE-3 inhibitor.

Vascular Medicine Physician Final

That's a fair asymmetry — the downside of waiting a few weeks for a repeat echo is small, and the downside of starting a drug with a real mortality signal in a population she might be quietly drifting toward is not. I'd rather confirm the EF trend first than either dismiss the finding or abandon cilostazol outright, given her claudication remains genuinely lifestyle-limiting and exercise alone has plateaued.

Regimen selected
Cilostazol
Phosphodiesterase III Inhibitor — Held in Reserve
Guideline-favored (Class 1, Level A) for her claudication profile, but held pending confirmatory echocardiogram given the incidental, unfollowed borderline-reduced EF.
Supervised Exercise Therapy
Continued, Ongoing
Continued alongside the workup; benefit has plateaued but remains a reasonable adjunct regardless of the cilostazol decision.
Atorvastatin
HMG-CoA Reductase Inhibitor · Continued, high-intensity
Unchanged; already optimized as part of her PAD secondary-prevention regimen.
Pentoxifylline
Hemorheologic Agent — Ruled Out
The 2024 guideline gives pentoxifylline a Class 3 (No Benefit) recommendation for claudication outright, so it is not a fallback while cilostazol is deferred — not merely a weaker option than cilostazol.
Where this was left

Cilostazol deferred pending a repeat echocardiogram in 4 weeks to confirm the ejection fraction finding and its trajectory. Supervised exercise and statin therapy continue unchanged in the interim.

Not agreed, and explicitly left as the open question the repeat echo is meant to answer, not resolve by itself:

If the repeat EF is stable or improved

Cilostazol likely proceeds as originally proposed, with the vascular medicine physician's original reasoning intact.

If the EF has dropped further or she develops symptoms

Cilostazol is off the table regardless of her claudication severity, and the cardiologist's caution will have been the more important read.

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