Document Detail


Medical management of peripheral arterial disease.
MedLine Citation:
PMID:  8000114     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Patients with atherosclerotic peripheral arterial disease (PAD) of the lower extremities have an inadequate blood flow to exercising muscle. This results in a walking impairment due to intermittent claudication (exercise-induced cramping in the muscles of the lower extremities). Persons with PAD are at increased risk of cardiovascular events, with an excess mortality from strokes and myocardial infarction. The medical treatment of patients with PAD is directed at intensive risk factor modification to decrease cardiovascular morbidity and mortality. A second treatment goal is to improve exercise performance and functional capacity. To this end, a limited number of drugs have been developed to improve claudication symptoms. In addition, the nonpharmacologic treatment of claudication includes exercise rehabilitation. Previous studies have shown that an exercise rehabilitation program results in significant increases in treadmill peak walking time, peak oxygen consumption, and pain-free walking time. Patients also reported improved walking ability and functional status in the community setting. Therefore, optimal treatment of this patient population includes cardiovascular risk factor modification, selective use of claudication drugs, and exercise rehabilitation.
Authors:
J G Regensteiner; W R Hiatt
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.; Review    
Journal Detail:
Title:  Journal of vascular and interventional radiology : JVIR     Volume:  5     ISSN:  1051-0443     ISO Abbreviation:  J Vasc Interv Radiol     Publication Date:    1994 Sep-Oct
Date Detail:
Created Date:  1995-01-20     Completed Date:  1995-01-20     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9203369     Medline TA:  J Vasc Interv Radiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  669-77     Citation Subset:  IM    
Affiliation:
Department of Medicine, University of Colorado School of Medicine, Denver 80262.
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MeSH Terms
Descriptor/Qualifier:
Aged
Exercise Therapy
Humans
Intermittent Claudication / drug therapy,  therapy*
Peripheral Vascular Diseases / drug therapy,  therapy*
Risk Factors
Walking

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


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