Exercise therapy for chronic symptomatic peripheral artery disease

被引:19
作者
Mazzolai, Lucia [1 ]
Belch, Jill [2 ]
Venermo, Maarit [3 ,4 ]
Aboyans, Victor [5 ,6 ]
Brodmann, Marianne [7 ]
Bura-Riviere, Alessandra [8 ]
Debus, Sebastien [9 ]
Espinola-Klein, Christine [10 ]
Harwood, Amy E. [11 ]
Hawley, John A. [12 ]
Lanzi, Stefano [1 ]
Madaric, Juraj [13 ,14 ]
Mahe, Guillaume [15 ,16 ]
Malatesta, Davide [17 ]
Schlager, Oliver [18 ]
Schmidt-Trucksass, Arno [19 ]
Seenan, Chris [20 ]
Sillesen, Henrik [21 ,22 ]
Tew, Garry A. [23 ]
Visona, Adriana [24 ]
机构
[1] Lausanne Univ Hosp, Univ Lausanne, Angiol Dept, Ch Mont Paisible 18, CH-1011 Lausanne, Switzerland
[2] Univ Dundee, Ninewells Hosp & Med Sch, Inst Cardiovasc Res, Dundee, Scotland
[3] Helsinki Univ Hosp, Abdominal Ctr, Dept Vasc Surg, Helsinki, Finland
[4] Univ Helsinki, Helsinki, Finland
[5] Dupuytren 2 Univ Hosp, Dept Cardiol, Limoges, France
[6] Limoges Univ, INSERM 1094, EpiMaCT, IRD270, Limoges, France
[7] Med Univ, Dept Internal Med, Div Angiol, Graz, Austria
[8] Toulouse Univ Hosp, Dept Vasc Med, Toulouse, France
[9] Univ Hamburg Eppendorf, Dept Vasc Med Vasc Surg Angiol Endovascular Therap, Hamburg, Germany
[10] Univ Med Ctr Johannes Gutenberg, Univ Mainz, Ctr Cardiol, Dept Cardiol Angiol 3, Mainz, Germany
[11] Manchester Metropolitan Univ, Dept Sport & Exercise Sci, Manchester, England
[12] Australian Catholic Univ, Mary MacKillop Inst Hlth Res, Exercise & Nutr Res Programme, Melbourne, Vic, Australia
[13] Comenius Univ, Dept Angiol, Bratislava, Slovakia
[14] Natl Inst Cardiovasc Dis, Dept Zool, Bratislava, Slovakia
[15] Ctr Hosp Univ Rennes, Vasc Med Unit, Rennes, France
[16] Univ Rennes, INSERM, CIC 1414, Rennes, France
[17] Univ Lausanne, Inst Sport Sci, Lausanne, Switzerland
[18] Med Univ Vienna, Dept Med 2, Div Angiol, Vienna, Austria
[19] Univ Basel, Dept Sport Exercise & Hlth, Div Sport & Exercise Med, Basel, Switzerland
[20] Glasgow Caledonian Univ, Sch Hlth & Life Sci, Glasgow City, Scotland
[21] Rigshospitalet, Dept Vasc Surg, Copenhagen, Denmark
[22] Univ Copenhagen, Dept Clin Med, Copenhagen, Denmark
[23] York St John Univ, Inst Hlth & Care Improvement, York, England
[24] Osped Castelfranco Veneto, Angiol Unit, Castelfranco Veneto, Italy
关键词
Vascular rehabilitation; Quality of life; Intermittent claudication; Exercise training; Physical activity; HOME-BASED EXERCISE; QUALITY-OF-LIFE; ANKLE-BRACHIAL INDEX; FUNCTIONAL PERFORMANCE PREDICTS; SUPERVISED EXERCISE; INTERMITTENT CLAUDICATION; PHYSICAL-ACTIVITY; WALKING EXERCISE; ENDOTHELIAL FUNCTION; 6-MINUTE WALK;
D O I
10.1093/eurheartj/ehad734
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
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. Graphical Abstract Graphical summary of the exercise training approaches in patients with peripheral artery disease.
引用
收藏
页码:1303 / 1321
页数:19
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