Exercise therapy for chronic symptomatic peripheral artery disease

Lucia Mazzolai; Jill Belch; Maarit Venermo; Victor Aboyans; Marianne Brodmann; Alessandra Bura-Rivière; Sebastien Debus; Christine Espinola-Klein; Amy E Harwood; John A Hawley; Stefano Lanzi; Juraj Madarič; Guillaume Mahé; Davide Malatesta; Oliver Schlager; Arno Schmidt-Trucksäss; Chris Seenan; Henrik Sillesen; Garry A Tew; Adriana Visonà

doi:10.1093/eurheartj/ehad734

Exercise therapy for chronic symptomatic peripheral artery disease

Lucia Mazzolai^*, Jill Belch, Maarit Venermo, Victor Aboyans, Marianne Brodmann, Alessandra Bura-Rivière, Sebastien Debus, Christine Espinola-Klein, Amy E Harwood, John A Hawley, Stefano Lanzi, Juraj Madarič, Guillaume Mahé, Davide Malatesta, Oliver Schlager, Arno Schmidt-Trucksäss, Chris Seenan, Henrik Sillesen, Garry A Tew, Adriana Visonà

^*Corresponding author for this work

Department of Vascular Surgery

33 Citations (Scopus)

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 language	English
Journal	European Heart Journal
Volume	45
Issue number	15
Pages (from-to)	1303-1321
Number of pages	19
ISSN	0195-668X
DOIs	https://doi.org/10.1093/eurheartj/ehad734
Publication status	Published - 14 Apr 2024

Keywords

Exercise training
Intermittent claudication
Physical activity
Quality of life
Vascular rehabilitation

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10.1093/eurheartj/ehad734

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Mazzolai, L., Belch, J., Venermo, M., Aboyans, V., Brodmann, M., Bura-Rivière, A., Debus, S., Espinola-Klein, C., Harwood, A. E., Hawley, J. A., Lanzi, S., Madarič, J., Mahé, G., Malatesta, D., Schlager, O., Schmidt-Trucksäss, A., Seenan, C., Sillesen, H., Tew, G. A., & Visonà, A. (2024). Exercise therapy for chronic symptomatic peripheral artery disease. European Heart Journal, 45(15), 1303-1321. https://doi.org/10.1093/eurheartj/ehad734

Mazzolai, L, Belch, J, Venermo, M, Aboyans, V, Brodmann, M, Bura-Rivière, A, Debus, S, Espinola-Klein, C, Harwood, AE, Hawley, JA, Lanzi, S, Madarič, J, Mahé, G, Malatesta, D, Schlager, O, Schmidt-Trucksäss, A, Seenan, C, Sillesen, H, Tew, GA & Visonà, A 2024, 'Exercise therapy for chronic symptomatic peripheral artery disease', European Heart Journal, vol. 45, no. 15, pp. 1303-1321. https://doi.org/10.1093/eurheartj/ehad734

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title = "Exercise therapy for chronic symptomatic peripheral artery disease",

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.",

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AU - Bura-Rivière, Alessandra

AU - Debus, Sebastien

AU - Espinola-Klein, Christine

AU - Harwood, Amy E

AU - Hawley, John A

AU - Lanzi, Stefano

AU - Madarič, Juraj

AU - Mahé, Guillaume

AU - Malatesta, Davide

AU - Schlager, Oliver

AU - Schmidt-Trucksäss, Arno

AU - Seenan, Chris

AU - Sillesen, Henrik

AU - Tew, Garry A

AU - Visonà, Adriana

N1 - This article has been co-published with permission in European Heart Journal, Vasa – European Journal of Vascular Medicine and European Journal of Vascular and Endovascular Surgery. © 2024 the European Society of Cardiology, the European Society of Vascular Medicine, and the European Society for Vascular Surgery. Published by Oxford University Press on behalf of the European Society of Cardiology, by Hogrefe AG on behalf of European Society of Vascular Medicine and by Elsevier B.V on behalf of European Society for Vascular Surgery. All rights reserved. The articles are identical except for minor stylistic and spelling differences in keeping with each journal’s style. Either citation can be used when citing this article.

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N2 - 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.

AB - 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.

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KW - Physical activity

KW - Quality of life

KW - Vascular rehabilitation

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JO - European Heart Journal

JF - European Heart Journal

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Exercise therapy for chronic symptomatic peripheral artery disease

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Keywords

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