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Rehabilitation in Peripheral Vascular Disease

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Cardiovascular Prevention and Rehabilitation

Abstract

The term claudication is derived from the Latin word claudicatio, translated as “to limp.” In vascular disease nomenclature, claudication describes the symptom of exercise-induced muscle ischemia, most commonly due to peripheral artery disease (PAD). The patient with intermittent claudication typically describes leg pain that is caused and reliably reproduced by a certain degree of exertion. The pain is sufficiently intense to stop the activity and is promptly relieved by rest, usually within minutes. A given degree of exercise, commonly measured in pain-free distance able to walk, consistently reproduces symptoms. The Fontaine stages are commonly used to rate symptom severity (Table 51-1).

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References

  1. Criqui MH, Denenberg JO, Langer RD, Fronek A. The epidemiology of peripheral arterial disease: importance of identifying the population at risk. Vasc Med 1997;2(3):221–226.

    PubMed  CAS  Google Scholar 

  2. Zheng ZJ, Sharrett AR, Chambless LE, et al. Associations of ankle-brachial index with clinical coronary heart disease, stroke and preclinical carotid and popliteal atherosclerosis: the Atherosclerosis Risk in Communities (ARIC) Study. Atherosclerosis 1997;131(1):115–125.

    Article  PubMed  CAS  Google Scholar 

  3. Aronow WS, Ahn C. Prevalence of coexistence of coronary artery disease, peripheral arterial disease, and atherothrombotic brain infarction in men and women > or = 62 years of age. Am J Cardiol 1994;74(1):64–65.

    Article  PubMed  CAS  Google Scholar 

  4. Girolami B, Bernardi E, Prins MH, et al. Treatment of intermittent claudication with physical training, smoking cessation, pentoxifylline, or nafronyl: a meta-analysis. Arch Intern Med 1999;159(4):337–345.

    Article  PubMed  CAS  Google Scholar 

  5. Effect of intensive diabetes management on macrovascular events and risk factors in the Diabetes Control and Complications Trial. Am J Cardiol 1995;75(14):894–903.

    Google Scholar 

  6. Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes (UKPDS 33). UK Prospective Diabetes Study (UKPDS) Group. Lancet 1998;352(9131):837–853.

    Google Scholar 

  7. Heintzen MP, Strauer BE. Peripheral vascular effects of beta-blockers. Eur Heart J 1994;15(Suppl C):2–7.

    PubMed  Google Scholar 

  8. Radack K, Deck C. Beta-adrenergic blocker therapy does not worsen intermittent claudication in subjects with peripheral arterial disease. A metaanalysis of randomized controlled trials. Arch Intern Med 1991;151(9):1769–1776.

    Article  PubMed  CAS  Google Scholar 

  9. The HOPE (Heart Outcomes Prevention Evaluation) Study: the design of a large, simple randomized trial of an angiotensin-converting enzyme inhibitor (ramipril) and vitamin E in patients at high risk of cardiovascular events. The HOPE study investigators. Can J Cardiol 1996;12(2):127–137.

    Google Scholar 

  10. Nehler MR, Hiatt WR. Exercise therapy for claudication. Ann Vasc Surg 1999;13(1):109–114.

    Article  PubMed  CAS  Google Scholar 

  11. Gardner AW, Poehlman ET. Exercise rehabilitation programs for the treatment of claudication pain. A meta-analysis. JAMA 1995;274(12):975–980.

    Article  PubMed  CAS  Google Scholar 

  12. Gibellini R, Fanello M, Bardile AF, Salerno M, Aloi T. Exercise training in intermittent claudication. Int Angiol 2000;19(1):8–13.

    PubMed  CAS  Google Scholar 

  13. Gardner AW, Katzel LI, Sorkin JD, Goldberg AP. Effects of long-term exercise rehabilitation on claudication distances in patients with peripheral arterial disease: a randomized controlled trial. J Cardiopulm Rehabil 2002;22(3):192–198.

    Article  PubMed  Google Scholar 

  14. Stewart KJ, Hiatt WR, Regensteiner JG, Hirsch AT. Exercise training for claudication. N Engl J Med 2002;347(24):1941–1951.

    Article  PubMed  Google Scholar 

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© 2007 Springer-Verlag London Limited

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Schmid, JP. (2007). Rehabilitation in Peripheral Vascular Disease. In: Perk, J., et al. Cardiovascular Prevention and Rehabilitation. Springer, London. https://doi.org/10.1007/978-1-84628-502-8_51

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  • DOI: https://doi.org/10.1007/978-1-84628-502-8_51

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-84628-462-5

  • Online ISBN: 978-1-84628-502-8

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