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Rehabilitation Therapy in Peripheral Arterial Disease
- Source :
- Canadian Journal of Cardiology. 32:S374-S381
- Publication Year :
- 2016
- Publisher :
- Elsevier BV, 2016.
-
Abstract
- Peripheral arterial disease (PAD) is the result of atherosclerosis in the lower limb arteries, which can give rise to intermittent claudication (IC), limb ulceration, infections, and, in some circumstances, amputation. As a result of PAD, patients are frequently limited in both walking duration and speed. These ambulatory deficits impact both functional capacity and quality of life. The prevalence of PAD is increasing, and patients with this diagnosis have high cardiovascular morbidity and mortality. A comprehensive approach is required to improve outcomes in patients with PAD and include tobacco cessation, pharmacologic management of metabolic fitness, risk-factor modification, and exercise training. Supervised exercise programs significantly improve functional capacity and quality of life in addition to reducing IC. These programs reduce morbidity and mortality and are cost-effective; yet they are uncommonly prescribed. Supervised exercise training is an accepted intervention in the PAD population and has been included in both Canadian and American guidelines for PAD management. This review describes (1) key background information related to PAD, (2) the initial approach to PAD diagnosis, (3) pharmacologic management options, (4) risk-factor modification, and (5) the currently accepted approach to exercise training. Key recommendations for enhancing PAD care in a Canadian context are also discussed.
- Subjects :
- medicine.medical_specialty
Cost-Benefit Analysis
Vasodilator Agents
medicine.medical_treatment
Population
Context (language use)
030204 cardiovascular system & hematology
Peripheral Arterial Disease
03 medical and health sciences
0302 clinical medicine
Quality of life
medicine
Humans
030212 general & internal medicine
education
Exercise
education.field_of_study
Rehabilitation
business.industry
Intermittent Claudication
Intermittent claudication
body regions
Amputation
Cardiovascular Diseases
Ambulatory
Physical therapy
Smoking cessation
Smoking Cessation
medicine.symptom
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 0828282X
- Volume :
- 32
- Database :
- OpenAIRE
- Journal :
- Canadian Journal of Cardiology
- Accession number :
- edsair.doi.dedup.....1dcbbaeaa03ed5d857b0bc581ba97bf4