Exercise therapy for chronic symptomatic peripheral artery disease

Author:

Mazzolai Lucia1ORCID,Belch Jill2,Venermo Maarit34ORCID,Aboyans Victor56ORCID,Brodmann Marianne7,Bura-Rivière Alessandra8,Debus Sebastien9,Espinola-Klein Christine10ORCID,Harwood Amy E.11,Hawley John A.12,Lanzi Stefano1ORCID,Madarič Juraj1314,Mahé Guillaume1516,Malatesta Davide17,Schlager Oliver18ORCID,Schmidt-Trucksäss Arno19,Seenan Chris20,Sillesen Henrik2122,Tew Garry A.23,Visonà Adriana24

Affiliation:

1. Angiology Department, Lausanne University Hospital, University of Lausanne, Switzerland

2. Institute of Cardiovascular Research, University of Dundee, Ninewells Hospital and Medical School, Dundee, UK

3. Department of Vascular Surgery, Abdominal Centre, Helsinki University Hospital, Finland

4. University of Helsinki, Finland

5. Department of Cardiology, Dupuytren-2 University Hospital, France

6. EpiMaCT, INSERM 1094/IRD270, Limoges University, Limoges, France

7. Division of Angiology, Department of Internal Medicine, Medical University, Graz, Austria

8. Department of Vascular Medicine, Toulouse University Hospital, France

9. Department of Vascular Medicine, Vascular Surgery – Angiology – Endovascular Therapy, University of Hamburg-Eppendorf, Hamburg, Germany

10. Centre of Cardiology, Department of Cardiology III-Angiology, University Medical Centre of the Johannes Gutenberg-University Mainz, Mainz, Germany

11. Department for Sport and Exercise Sciences, Manchester Metropolitan University, Manchester, UK

12. Exercise and Nutrition Research Programme, Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, VIC, Australia

13. Department of Angiology, Comenius University, Bratislava, Slovakia

14. National Institute of Cardiovascular Diseases, Bratislava, Slovakia

15. Vascular Medicine Unit, Centre Hospitalier Universitaire de Rennes, France

16. INSERM CIC 1414, Université de Rennes, France

17. Institute of Sport Sciences, University of Lausanne, Switzerland

18. Division of Angiology, Department of Medicine II, Medical University of Vienna, Austria

19. Division of Sport and Exercise Medicine, Department of Sport, Exercise and Health, University of Basel, Switzerland

20. School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK

21. Department of Vascular Surgery, Rigshospitalet, Copenhagen, Denmark

22. Department of Clinical Medicine, University of Copenhagen, Denmark

23. Institute for Health and Care Improvement, York St John University, York, UK

24. Angiology Unit, Ospedale Castelfranco Veneto, Castelfranco Veneto, Italy

Abstract

Summary: All guidelines worldwide strongly recommend exercise as a pillar in the management of patients affected by lower extremity peripheral artery disease (PAD). Exercise therapy in this setting presents different modalities, and a structured programme provides optimal results. This clinical consensus paper is intended to promote and assist the set up of comprehensive exercise programmes and best advice for patients with symptomatic chronic PAD. Different exercise training protocols specific for patients with PAD are presented. Data on patient assessment and outcome measures are described based on the current best evidence. The document ends by highlighting supervised exercise programme access disparities across Europe and the evidence gaps requiring further research.

Publisher

Hogrefe Publishing Group

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