Exercise therapy for chronic symptomatic peripheral artery disease: a clinical consensus document of the ESC Working Group on Aorta and Peripheral Vascular Diseases in collaboration with the European Society of Vascular Medicine, and the European Society of Vascular Surgery.

Lucia Mazzolai (Lead / Corresponding author), Jill Belch, Maarit Venermo, Victor Aboyans, Marianne Brodmann, Alessandra Bura-Riviere, Sebastian Debus, Christine Espinola-Klein, Amy E. Harwood, John A. Hawley, Stefano Lanzi, Juraj Madaric, Guillaume Mahé, Davide Malatesta, Oliver Schlager, Arno Schmidt-Trucksäss, Chris Seenan, Henrik Sillesen, Garry A. Tew, Adriana Visona

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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.
Original languageEnglish
Article numberehad734
Pages (from-to)1303-1321
Number of pages19
JournalEuropean Heart Journal
Volume45
Issue number15
Early online date10 Mar 2024
DOIs
Publication statusPublished - 14 Apr 2024

Keywords

  • Vascular rehabilitation
  • Quality of life
  • Intermittent claudication
  • Exercise training
  • Physical activity

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