Document Detail

Endovascular intervention in patients with coronary and peripheral arterial disease.
MedLine Citation:
PMID:  7748778     Owner:  NLM     Status:  MEDLINE    
Randomized clinical trials have typically demonstrated lower mortality rates for patients with coronary artery disease who participate in cardiac rehabilitation programs. The Multiple Risk Factor Intervention Trial, the Lifestyle Heart Trial, and the Aerobics Research Institute studies suggest that light to moderate amounts of exercise protect against early mortality from coronary artery disease. Walking is the cornerstone of cardiovascular rehabilitation. Patients with coronary artery disease who are limited by claudication may be unable to participate in their cardiovascular exercise program. In a subset of patients with combined coronary and peripheral arterial disease who have had failure with an oral hemorrheologic agent (Pentoxifylline) and an aggressive walking program, claudication is an indication for diagnostic angiography and revascularization. Percutaneous endovascular interventions that enable these patients to enroll in cardiac rehabilitation programs may favorably influence their long-term outcome. Selected case studies are used to illustrate this management approach for these patients who are at high risk.
A J Breisch; J A Perez
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of vascular nursing : official publication of the Society for Peripheral Vascular Nursing     Volume:  12     ISSN:  1062-0303     ISO Abbreviation:  J Vasc Nurs     Publication Date:  1994 Jun 
Date Detail:
Created Date:  1995-06-22     Completed Date:  1995-06-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9014475     Medline TA:  J Vasc Nurs     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  38-43     Citation Subset:  N    
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MeSH Terms
Coronary Disease / complications,  surgery*
Intermittent Claudication / complications,  surgery*
Middle Aged
Nursing Assessment

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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