Supervised Exercise Therapy and Revascularization for Intermittent Claudication

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Cost-effectiveness of supervised exercise therapy compared with endovascular revascularization for intermittent claudication.

BACKGROUND Current guidelines recommend supervised exercise therapy (SET) as the preferred initial treatment for patients with intermittent claudication. The availability of SET programmes is, however, limited and such programmes are often not reimbursed. Evidence for the long-term cost-effectiveness of SET compared with endovascular revascularization (ER) as primary treatment for intermittent ...

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Intermittent claudication: cost-effectiveness of revascularization versus exercise therapy.

PURPOSE To compare the costs, effectiveness, and cost-effectiveness of alternative treatment strategies for intermittent claudication. MATERIALS AND METHODS By combining data from the literature and original patient data, a Markov decision model was developed to evaluate the societal cost-effectiveness. Patients presented with previously untreated intermittent claudication, and treatment opti...

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Endovascular Revascularization and Supervised Exercise for Peripheral Artery Disease and Intermittent Claudication: A Randomized Clinical Trial.

IMPORTANCE Supervised exercise is recommended as a first-line treatment for intermittent claudication. Combination therapy of endovascular revascularization plus supervised exercise may be more promising but few data comparing the 2 therapies are available. OBJECTIVE To assess the effectiveness of endovascular revascularization plus supervised exercise for intermittent claudication compared w...

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Supervised Exercise Is Equivalent to Endovascular Revascularization for the Treatment of Intermittent Claudication

Setting and participants. 151 consecutive patients in the Netherlands with Rutherford category 1, 2, or 3 intermittent claudication symptoms, maximum pain-free walking distance < 350 meters, ankle-brachial index (ABI) < 0.9 at rest (or decreased by > 0.15 with exercise), and at least 1 iliac or femoropopliteal stenosis creating a > 50% vessel diameter reduction (visualized by magnetic resonance...

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Exercise and Intermittent Claudication

Four men with arteriosclerosis obliterans (ASO) were exercised on a treadmill on 4 different days to determine their maximal walking time (MWT) and the point at which their claudication pain (CPT) began. Each subject was exercised at 60%, 75%, and 90% of his MWT to determine the effect of work intensity on the systolic blood pressure at the ankle (AP). To measure the effect of exercise repeated...

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ژورنال

عنوان ژورنال: JACC: Cardiovascular Interventions

سال: 2019

ISSN: 1936-8798

DOI: 10.1016/j.jcin.2019.02.018