What are the SVS guidelines for exercise therapy in the treatment of peripheral arterial occlusive disease (PAOD)?

Updated: Sep 12, 2019
  • Author: Josefina A Dominguez, MD; Chief Editor: Vincent Lopez Rowe, MD  more...
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Answer

Recommendations for exercise therapy for IC include the following:

  • A supervised exercise program consisting of walking a minimum of three times per week (30-60 min/session) for at least 12 weeks is recommended as first-line therapy for all suitable patients with IC (grade 1 recommendation; evidence level A).
  • Home-based exercise is recommended, with a goal of at least 30 minutes of walking three to five times per week when a supervised exercise program is unavailable or for long-term benefit after a supervised program is completed (grade 1 recommendation; evidence level B).
  • After revascularization therapy for IC, exercise (either supervised or home-based) is recommended for adjunctive functional benefits (grade 1 recommendation; evidence level B).
  • Patients with IC should be be followed up annually to assess compliance with lifestyle measures (smoking cessation, exercise) and medical therapies and to look for evidence of progression in symptoms or signs of PAD. Yearly ABI testing may be of value to provide objective evidence of disease progression (grade 1 recommendation; evidence level C).

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