scholarly journals Implementing a community-based structured exercise programme for patients with peripheral arterial disease in conjunction with an existing cardiac rehabilitation service results in better outcomes

2016 ◽  
Vol 16 (4) ◽  
pp. 193 ◽  
Author(s):  
Sue Matthews ◽  
Pam Smith ◽  
Paul Chadwick ◽  
Vince Smyth
Keyword(s):  
Peripheral Arterial Disease ◽  
Cardiac Rehabilitation ◽  
Exercise Programme ◽  
Arterial Disease ◽  
Rehabilitation Service ◽  
Community Based ◽  
Peripheral Arterial

Saving more lives and limbs: applying a cardiac rehabilitation model of structured exercise to symptomatic peripheral arterial disease

2021 ◽  
pp. 1-8
Author(s):  
Susan Matthews ◽  
Martin Fox ◽  
Sarah Coy ◽  
Jane Whittaker ◽  
Gail Brough ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Blood Pressure ◽  
Peripheral Arterial Disease ◽  
Cardiac Rehabilitation ◽  
Intermittent Claudication ◽  
Arterial Disease ◽  
Morbidity And Mortality ◽  
Supervised Exercise ◽  
Peripheral Arterial

Background/Aims Peripheral arterial disease is common among those aged 60 years or above and can cause debilitating intermittent claudication. This impacts quality of life and is a marker for increased morbidity and mortality, mainly from cardiovascular disease. Access to recommended exercise programmes for people with symptomatic peripheral arterial disease is poor in most areas of the UK. This study aimed to evaluate the benefits of expanding an established cardiac rehabilitation service to accommodate supervised exercise for people with peripheral arterial disease Methods The study evaluated 11 participants peripheral arterial disease and intermittent claudication who were referred by the Manchester leg circulation service. Participants underwent the programme involving eight weekly 1.5 hour sessions of supervised exercise and cardiovascular education with support, reassurance and motivation. The participants' blood pressure, walking impairment, quality of life, anxiety and depression were monitored and reviewed. Results Overall, the participants' walking distance, intermittent claudication, quality of life and blood pressure had improved. The participants' overall satisfaction with the programme was excellent. The programme also demonstrated clinical and cost-effectiveness. Conclusions A structured, supervised exercise programme can have considerable benefits for people with peripheral arterial disease, improving their symptoms and quality of life. It may also help to reduce the morbidity and mortality risks associated with inactivity in this patient group.

scholarly journals Effect of physical inactivity and tobacco use on mortality and morbidity in revascularized patients with peripheral arterial disease: A nationwide cohort study

2021 ◽  
Author(s):  
Seungwoo Cha ◽  
Sherry L Grace ◽  
Kyungdo Han ◽  
Bongseong Kim ◽  
Nam-Jong Paik ◽  
...  
Keyword(s):  
Cohort Study ◽  
Peripheral Arterial Disease ◽  
Cardiac Rehabilitation ◽  
Clinical Outcomes ◽  
Tobacco Use ◽  
Adverse Outcome ◽  
Arterial Disease ◽  
Current Guideline ◽  
All Cause Mortality ◽  
Peripheral Arterial

Importance: Physical activity (PA) and tobacco use are key health behaviours in patients with peripheral arterial disease (PAD). Limited studies are available on effects of those behaviours in PAD after revascularization, including Asian countries where tobacco use is high. Objective: To investigate the effects of PA and tobacco use on adverse clinical outcomes in patients with PAD after revascularization. Design: Retrospective cohort study Setting: Population–based study using the Korean National Health Insurance Service (NHIS) database Participants: Patients who had received revascularization for PAD between 2010–2015 were included. They were categorized as active or inactive based on the number of days per week they engaged in PA and as current or non–tobacco users (self–report). Exposures: PA and tobacco use. Main outcomes: The primary outcome was all–cause mortality. Secondary outcomes included major adverse outcome (a composite of all–cause mortality, myocardial infarction, and stroke) and major adverse limb event (MALE, a composite of amputation and recurrent revascularization). Results: The cohort comprised 8324 patients (mean age, 64.7 years; 76.9% male). Among them, 32.7% were inactive and 26.4% were tobacco users. Active patients had significantly better outcomes than inactive patients [all–cause mortality adjusted hazard ratio (adjHR) = 0.766 (0.685 – 0.855), major adverse outcome adjHR = 0.795 (0.719 – 0.878), MALE adjHR = 0.858 (0.773 – 0.953)]. Tobacco users had significantly poorer outcomes than non-users [all-cause mortality adjHR = 1.279 (1.124 – 1.456), major adverse outcome adjHR = 1.263 (1.124 – 1.418), MALE adjHR = 1.291 (1.143 – 1.458)]. Conclusions and Relevance: Even after receiving revascularization for PAD, a sizable proportion of patients were inactive and used tobacco, leading to adverse clinical outcomes. These modifiable risk factors are systematically addressed in cardiac rehabilitation; in line with current guideline recommendations, more needs to be done to ensure cardiac rehabilitation participation in patients with PAD.

WBC count predicts the risk of new-onset peripheral arterial disease in a Chinese community-based population

2017 ◽  
Vol 40 (11) ◽  
pp. 932-936 ◽  
Author(s):  
Yuxi Li ◽  
Fangfang Fan ◽  
Jia Jia ◽  
Jianping Li ◽  
Yong Huo ◽  
...  
Keyword(s):  
Peripheral Arterial Disease ◽  
Arterial Disease ◽  
Chinese Community ◽  
Community Based ◽  
Wbc Count ◽  
Peripheral Arterial ◽  
New Onset

scholarly journals Self-Reported Peripheral Arterial Disease Predicts Future Vascular Events in a Community-Based Cohort

2008 ◽  
Vol 23 (9) ◽  
pp. 1423-1428 ◽  
Author(s):  
Maya J. Salameh ◽  
Tatjana Rundek ◽  
Bernadette Boden-Albala ◽  
Zhezhen Jin ◽  
Elizabeth V. Ratchford ◽  
...  
Keyword(s):  
Peripheral Arterial Disease ◽  
Arterial Disease ◽  
Vascular Events ◽  
Community Based ◽  
Peripheral Arterial
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