Optimal Exercise Programs for Patients With Peripheral Artery Disease: A Scientific Statement From the American Heart Association

Treat‐Jacobson, Diane; McDermott, Mary McGrae; Bronas, Ulf G.; Campia, Umberto; Collins, Tracie C.; Criqui, Michael H.; Gardner, Andrew W.; Hiatt, William R.; Regensteiner, Judith G.; Rich, Kathleen

doi:10.1161/cir.0000000000000623

Cited by 197 publications

(261 citation statements)

References 173 publications

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“…Core components of cardiac rehabilitation in PAD (Table 8 98,99 ) should include the systematic provision of best medical pharmacological therapies. 100 Patients with PAD are at very-high risk and should be managed accordingly, particularly for lipid and blood pressure targets.…”

Section: Peripheral Artery Diseasementioning

confidence: 99%

Secondary prevention through comprehensive cardiovascular rehabilitation: From knowledge to implementation. 2020 update. A position paper from the Secondary Prevention and Rehabilitation Section of the European Association of Preventive Cardiology

Ambrosetti

Abreu

Corrà

et al. 2020

European Journal of Preventive Cardiology

475

604

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Secondary prevention through comprehensive cardiac rehabilitation has been recognized as the most cost-effective intervention to ensure favourable outcomes across a wide spectrum of cardiovascular disease, reducing cardiovascular mortality, morbidity and disability, and to increase quality of life. The delivery of a comprehensive and ‘modern’ cardiac rehabilitation programme is mandatory both in the residential and the out-patient setting to ensure expected outcomes. The present position paper aims to update the practical recommendations on the core components and goals of cardiac rehabilitation intervention in different cardiovascular conditions, in order to assist the whole cardiac rehabilitation staff in the design and development of the programmes, and to support healthcare providers, insurers, policy makers and patients in the recognition of the positive nature of cardiac rehabilitation. Starting from the previous position paper published in 2010, this updated document maintains a disease-oriented approach, presenting both well-established and more controversial aspects. Particularly for implementation of the exercise programme, advances in different training modalities were added and new challenging populations were considered. A general table applicable to all cardiovascular conditions and specific tables for each clinical condition have been created for routine practice.

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Section: Peripheral Artery Diseasementioning

confidence: 99%

Secondary prevention through comprehensive cardiovascular rehabilitation: From knowledge to implementation. 2020 update. A position paper from the Secondary Prevention and Rehabilitation Section of the European Association of Preventive Cardiology

Ambrosetti

Abreu

Corrà

et al. 2020

European Journal of Preventive Cardiology

475

604

View full text Add to dashboard Cite

show abstract

“…Consensus statements among all agencies American Heart Association (AHA), American Association of Cardiovascular Pulmonary Rehabilitation (AACVPR), Agency for Health Care Policy and Research (AHCPR), American College of Cardiology (ACC), state that cardiac rehabilitation programs should offer a multidisciplinary approach to risk reduction and that programs that consist of exercise training alone are not enough 25,26 . Currently, CR programs address not only exercise but education (lifestyle) counseling as well 27,28 .…”

Section: Discussionmentioning

confidence: 99%

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program

Dor-Haim

Katzburg

Leibowitz

2019

JoVE

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Despite the evidence that cardiac rehabilitation (CR) reduces the risk of recurrent cardiac events, only a minority of eligible patients are willing to join existing programs at cardiac rehabilitation centers. The unique remote patient monitoring system presented here enables healthcare providers to monitor CR patients at home in real-time and at low cost. The system combines mobile technology, artificial intelligence, and supportive services, expanding the delivery of medical care to the patient's home. The primary aim of the study is to increase the long-term adherence to physical activity in patients who participate in CR via the addition of a home-based digitally monitored CR component to the standard CR program in patients with ischemic heart disease (IHD), with the idea of forming new habitual health behaviors and increasing the long-term motivation for physical exercise (PE) habits at home. Secondary aims are to assess the program's impact on the physical activity level measured by average steps per day, minutes of exercise per week, blood pressure, metabolic parameters, body mass index, and waistto-hip ratio, as well as a quality-of-life (QoL) questionnaire.The study has two arms: (1) home-based monitored exercise using a smart digital garment and wristband, in addition to motivation and reinforcement via text messages; (2) standard CR facility-based exercise. The study design is a randomized, controlled trial comparing standard CR to a home-based monitoring and reinforcement program. The study program is designed for 12 weeks.Clinical tests and anthropometric measurements are performed before and after the study, measuring height, weight, waist circumference, visceral fat and body mass index (BMI), blood pressure, and HbA1c and lipid profile. Patients have to complete a baseline survey including socio-demographic characteristics and QoL questionnaire SF-36. At the end of the study, patients complete a survey regarding the use of the smart digital garment's benefits and usability. The study is currently underway.

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“…Beneficial effect of exercise was also reported in patients with PAD in whom a home exercise program improved maximum walking distance, claudication distance, walking distance in a 6‐min walking test and physical activity 33 . These findings encouraged the promotion of regular physical activity among PAD patients 34 . If the ability to walk or run is restricted, this affects almost all areas of daily life.…”

mentioning

confidence: 84%

Exercise and cardiovascular diseases

et al. 2020

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Optimal Exercise Programs for Patients With Peripheral Artery Disease: A Scientific Statement From the American Heart Association

Cited by 197 publications

References 173 publications

Secondary prevention through comprehensive cardiovascular rehabilitation: From knowledge to implementation. 2020 update. A position paper from the Secondary Prevention and Rehabilitation Section of the European Association of Preventive Cardiology

Secondary prevention through comprehensive cardiovascular rehabilitation: From knowledge to implementation. 2020 update. A position paper from the Secondary Prevention and Rehabilitation Section of the European Association of Preventive Cardiology

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program

Exercise and cardiovascular diseases

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