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 E11,Hawley John A12,Lanzi Stefano1ORCID,Madarič Juraj1314,Mahé Guillaume1516,Malatesta Davide17,Schlager Oliver18ORCID,Schmidt-Trucksäss Arno19,Seenan Chris20,Sillesen Henrik2122,Tew Garry A23,Visonà Adriana24

Affiliation:

1. Angiology Department, Lausanne University Hospital, University of Lausanne , Ch. de Mont-Paisible 18, Lausanne 1011 , Switzerland

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

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

4. University of Helsinki , 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 , Toulouse , France

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

10. Center of Cardiology, Department of Cardiology III-Angiology, University Medical Center 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 , Rennes , France

16. INSERM CIC 1414, Université de Rennes , Rennes , France

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

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

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

Abstract All guidelines worldwide strongly recommend exercise as a pillar of 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 for clinicians to promote and assist for the set-up of comprehensive exercise programmes to best advice in patients with symptomatic chronic PAD. Different exercise training protocols specific for patients with PAD are presented. Data on patient assessment and outcome measures are narratively described based on the current best evidence. The document ends by highlighting disparities in access to supervised exercise programmes across Europe and the series of gaps for evidence requiring further research.

Publisher

Oxford University Press (OUP)

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