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Lifestyle and exercise therapy for peripheral vascular disease

    Curt Diehm

    Curt Diehm graduated from Heidelberg University, Germany in 1977 and is director of the Department of Internal Medicine and Angiology at the Karlsbad Clinic (Academic Teaching Hospital of the University of Heidelberg, Germany). He is the principal investigator of the getABI study, a large epidemiological trial investigation the nationwide impact of peripheral arterial disease in a large-scale study in Germany. He is past-president of the German Society of Angiology and is on the advisory board of the German Stroke Foundation. He is also member of the Swiss and Austrian Societies of Angiology. He has authored more than 250 publications in national and international journals and serves as a reviewer for many cardiovascular research journals.

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    Nicolas Diehm

    Nicolas Diehm graduated from Heidelberg University, Germany in 2003 and is an attending physician at the Division of Clinical and Interventional Angiology at the Swiss Cardiovascular Center, University of Bern, Switzerland. He completed the Cook Research Scholarship at Baptist Cardiac and Vascular Institute, Miami in 2007. Besides his interest in endovascular abdominal aortic aneurysm repair, his previous research focus included various aspects of endovascular therapy for both claudicants and patients with critical limb ischemia. He is currently the principal investigator for a US FDA trial assessing the clinical utility of drug-eluting balloons in patients with critical limb ischemia (Euro-CANAL trial). He has authored more than 100 peer-reviewed publications and serves as a reviewer for many cardiovascular research journals.

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    Published Online:12 Mar 2013https://doi.org/10.2217/ebo.12.185
    Abstract:

    In patients with claudication, the key treatment aims are improvement in walking ability and quality of life as well as the prevention of disease progression. Often peripheral vascular disease can be treated with lifestyle changes. Smoking cessation and a structured exercise program are frequently sufficient to alleviate symptoms and prevent further progression of the disease.

    References

    • 1  American College of Cardiology Foundation, American Heart Association Task Force, Society for Cardiovascular Angiography Interventions et al. ACC/AHA 2011 focused update of the guidelines for the management of patients with peripheral artery disease (updating the 2005 guideline) . Vasc. Med. 16 (6) , 452 – 476, (2011) .
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    • 2  Diehm C , Allenberg JR , Pittrow D et al. Mortality and vascular morbidity in older adults with asymptomatic versus symptomatic peripheral arterial disease . Circulation 120 (21) , 2053 – 2061 (2009) .
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    • 4  Spronk S , Bosch JL , den Hoed PT , Veen HF , Pattynama PM , Hunik MG . Intermittent claudication: clinical effectiveness of endovascular revascularization versus supervised hospital-based exercise training – randomized controlled trial . Radiology 250 (2) , 586 – 595 (2009) .
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    • 5  Murphy TP , Cutlip DE , Regensteiner JG et al. Supervised exercise versus primary stenting for claudication resulting from aortoiliac peripheral artery disease. Six month outcomes from the Claudication: Exercise versus Endoluminal Revascularization (CLEVER) study . Circulation 125 (1) , 130 – 139 (2012)
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    • 6  Hamburg NM , Balady GJ . Exercise rehabilitation in peripheral arterial disease . Circulation 123 (1) , 87 – 97 (2011) .
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