Implementation of Supervised Exercise Therapy for Patients With Symptomatic Peripheral Artery Disease: A Science Advisory From the American Heart Association.

Abstract:

:Patients with lower-extremity peripheral artery disease (PAD) have greater functional impairment, faster functional decline, increased rates of mobility loss, and poorer quality of life than people without PAD. Supervised exercise therapy (SET) improves walking ability, overall functional status, and health-related quality of life in patients with symptomatic PAD. In 2017, the Centers for Medicare & Medicaid Services released a National Coverage Determination (CAG-00449N) for SET programs for patients with symptomatic PAD. This advisory provides a practical guide for delivering SET programs to patients with PAD according to Centers for Medicare & Medicaid Services criteria. It summarizes the Centers for Medicare & Medicaid Services process and requirements for referral and coverage of SET and provides guidance on how to implement SET for patients with PAD, including the SET protocol, options for outcome measurement, and transition to home-based exercise. This advisory is based on the guidelines established by the Centers for Medicare & Medicaid Services for Medicare beneficiaries in the United States and is intended to assist clinicians and administrators who are implementing SET programs for patients with PAD.

journal_name

Circulation

journal_title

Circulation

authors

Treat-Jacobson D,McDermott MM,Beckman JA,Burt MA,Creager MA,Ehrman JK,Gardner AW,Mays RJ,Regensteiner JG,Salisbury DL,Schorr EN,Walsh ME,American Heart Association Council on Peripheral Vascular Disease; Council on Cardiovascular

doi

10.1161/CIR.0000000000000727

subject

Has Abstract

pub_date

2019-09-24 00:00:00

pages

e700-e710

issue

13

eissn

0009-7322

issn

1524-4539

journal_volume

140

pub_type

杂志文章
  • Renal dysfunction as a predictor of stroke and systemic embolism in patients with nonvalvular atrial fibrillation: validation of the R(2)CHADS(2) index in the ROCKET AF (Rivaroxaban Once-daily, oral, direct factor Xa inhibition Compared with vitamin K ant

    abstract:BACKGROUND:We sought to define the factors associated with the occurrence of stroke and systemic embolism in a large, international atrial fibrillation (AF) trial. METHODS AND RESULTS:In ROCKET AF (Rivaroxaban Once-daily, oral, direct factor Xa inhibition Compared with vitamin K antagonism for prevention of stroke and...

    journal_title:Circulation

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1161/CIRCULATIONAHA.112.107128

    authors: Piccini JP,Stevens SR,Chang Y,Singer DE,Lokhnygina Y,Go AS,Patel MR,Mahaffey KW,Halperin JL,Breithardt G,Hankey GJ,Hacke W,Becker RC,Nessel CC,Fox KA,Califf RM,ROCKET AF Steering Committee and Investigators.

    更新日期:2013-01-15 00:00:00

  • Bypass surgery with the internal mammary artery graft: 15 year follow-up.

    abstract::We performed a 15 year follow-up of 748 patients undergoing bypass surgery, comparing 532 patients with one or two internal mammary artery grafts with or without additional saphenous vein grafts to 216 patients with saphenous vein grafts alone. During the 15 years of follow-up the 532 patients with at least one intern...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Cameron A,Kemp HG Jr,Green GE

    更新日期:1986-11-01 00:00:00

  • Myofilament calcium regulation in human myocardium.

    abstract:BACKGROUND:We investigated whether decreased myofilament calcium contractile activation may, in part, contribute to heart failure. METHODS AND RESULTS:Calcium concentration required for 50% activation and Hill coefficient for fibers from nonfailing and failing human hearts at pH 7.1 were not different. Maximum calcium...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.101.14.1679

    authors: Hajjar RJ,Schwinger RH,Schmidt U,Kim CS,Lebeche D,Doye AA,Gwathmey JK

    更新日期:2000-04-11 00:00:00

  • Long-term benefit of postconditioning.

    abstract:BACKGROUND:We previously demonstrated that ischemic postconditioning decreases creatine kinase release, a surrogate marker for infarct size, in patients with acute myocardial infarction. Our objective was to determine whether ischemic postconditioning could afford (1) a persistent infarct size limitation and (2) an imp...

    journal_title:Circulation

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1161/CIRCULATIONAHA.107.729780

    authors: Thibault H,Piot C,Staat P,Bontemps L,Sportouch C,Rioufol G,Cung TT,Bonnefoy E,Angoulvant D,Aupetit JF,Finet G,André-Fouët X,Macia JC,Raczka F,Rossi R,Itti R,Kirkorian G,Derumeaux G,Ovize M

    更新日期:2008-02-26 00:00:00

  • Immunoglobulin M type of autoantibodies to oxidized low-density lipoprotein has an inverse relation to carotid artery atherosclerosis.

    abstract:BACKGROUND:Lipoprotein oxidation plays an important part in atherogenesis. Autoantibodies to oxidation-specific epitopes of LDL occur in plasma and atherosclerotic lesions of humans and animals. The potential role of these autoantibodies in atherogenesis still remains unsolved. We studied the relationship between diffe...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000092891.55157.A7

    authors: Karvonen J,Päivänsalo M,Kesäniemi YA,Hörkkö S

    更新日期:2003-10-28 00:00:00

  • Gene polymorphisms for plasminogen activator inhibitor-1/tissue plasminogen activator and development of allograft coronary artery disease.

    abstract:BACKGROUND:Impaired fibrinolytic activity has been linked to the presence and severity of allograft vasculopathy (Tx CAD). This impairment may be associated with the presence of certain fibrinolytic protein gene polymorphisms. METHODS AND RESULTS:To investigate the relation between donor-specific fibrinolytic protein ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.98.21.2248

    authors: Benza RL,Grenett HE,Bourge RC,Kirklin JK,Naftel DC,Castro PF,McGiffin DC,George JF,Booyse FM

    更新日期:1998-11-24 00:00:00

  • Elderly patients with acute coronary syndromes managed without revascularization: insights into the safety of long-term dual antiplatelet therapy with reduced-dose prasugrel versus standard-dose clopidogrel.

    abstract:BACKGROUND:Dual antiplatelet therapy in older versus younger patients with acute coronary syndromes is understudied. Low-dose prasugrel (5 mg/d) is recommended for younger, lower-body-weight patients and elderly patients with acute coronary syndromes to mitigate the bleeding risk of standard-dose prasugrel (10 mg/d). ...

    journal_title:Circulation

    pub_type: 杂志文章,随机对照试验

    doi:10.1161/CIRCULATIONAHA.113.002303

    authors: Roe MT,Goodman SG,Ohman EM,Stevens SR,Hochman JS,Gottlieb S,Martinez F,Dalby AJ,Boden WE,White HD,Prabhakaran D,Winters KJ,Aylward PE,Bassand JP,McGuire DK,Ardissino D,Fox KA,Armstrong PW

    更新日期:2013-08-20 00:00:00

  • Results of reoperation for unsuccessful coronary artery bypass surgery.

    abstract::Twenty-one reoperations for relief of angina have been performed at Stanford Medical Center in patients who had had previously unsuccessful direct coronary artery surgery. Complete releif of angina was obtained in seven (33%), improvement of angina in six (29%), and no change in angina in eight (38%) after these opera...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors:

    更新日期:1975-08-01 00:00:00

  • The early posthospital phase of myocardial infarction. Prognostic stratification.

    abstract::Prognostic stratification was carried out on 518 patients less than or equal to 65 years of age who were discharged from the hospital following a definite or probable acute myocardial infarction and followed for four months. The total population was made up of 272 patients hospitalzed in 1973 and 246 patients hospital...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.54.1.58

    authors: Moss AJ,DeCamilla J,Davis H,Bayer L

    更新日期:1976-07-01 00:00:00

  • Fish oil treatment decreases superoxide anions in the myocardium and coronary arteries of atherosclerotic monkeys.

    abstract:BACKGROUND:This experiment sought to determine the effects of fish oil on superoxide anion production in the myocardium and coronary arteries of atherosclerotic monkeys. Recent evidence indicates that dietary supplementation with fish oil preserves normal vasomotion of atherosclerotic coronary arteries and reduces dama...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.91.4.1123

    authors: Supari F,Ungerer T,Harrison DG,Williams JK

    更新日期:1995-02-15 00:00:00

  • Adenosine enhances neuroexcitability by inhibiting a slow postspike afterhyperpolarization in rabbit vagal afferent neurons.

    abstract:BACKGROUND:Electrophysiological mechanisms by which adenosine may activate cardiac afferent neurons are unknown. Slow afterhyperpolarizations (AHPs) follow action potentials in a subset of vagal C afferents, rendering them inexcitable. The purpose of this study was to test the hypothesis that adenosine increases vagal ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.103.9.1325

    authors: Middlekauff HR,Doering A,Weiss JN

    更新日期:2001-03-06 00:00:00

  • Alterations of skeletal muscle in chronic heart failure.

    abstract:BACKGROUND:The present study was designed to define the prevalence and characteristics of skeletal muscle alterations in patients with chronic heart failure (CHF) and their relation to exercise capacity. METHODS AND RESULTS:The ultrastructure of skeletal muscle was analyzed by ultrastructural morphometry in 57 patient...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.85.5.1751

    authors: Drexler H,Riede U,Münzel T,König H,Funke E,Just H

    更新日期:1992-05-01 00:00:00

  • Unique features and prognosis of primum ASD presenting in the first year of life.

    abstract:BACKGROUND:Primum atrial septal defect (ASD) is a defect that is usually associated with few symptoms and can be electively repaired with good results. A review of our experience with primum ASD identified a subset of patients characterized by presentation with congestive heart failure (CHF) in the first months of life...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Manning PB,Mayer JE Jr,Sanders SP,Coleman EA,Jonas RA,Keane JF,VanPraagh S,Castañeda AR

    更新日期:1994-11-01 00:00:00

  • Uric acid and survival in chronic heart failure: validation and application in metabolic, functional, and hemodynamic staging.

    abstract:BACKGROUND:Serum uric acid (UA) could be a valid prognostic marker and useful for metabolic, hemodynamic, and functional (MFH) staging in chronic heart failure (CHF). METHODS AND RESULTS:For the derivation study, 112 patients with CHF (age 59+/-12 years, peak oxygen consumption [Vo2] 17+/-7 mL/kg per minute) were recr...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000065637.10517.A0

    authors: Anker SD,Doehner W,Rauchhaus M,Sharma R,Francis D,Knosalla C,Davos CH,Cicoira M,Shamim W,Kemp M,Segal R,Osterziel KJ,Leyva F,Hetzer R,Ponikowski P,Coats AJ

    更新日期:2003-04-22 00:00:00

  • Participation of tyrosine phosphorylation in cytoskeletal reorganization, alpha(IIb)beta(3) integrin receptor activation, and aspirin-insensitive mechanisms of thrombin-stimulated human platelets.

    abstract:BACKGROUND:Fibrinogen binding to the active conformation of the alpha(IIb)beta(3) integrin receptor (glycoprotein IIb/IIIa) and cytoskeletal reorganization are important events in platelet function. Tyrosine phosphorylation of platelet proteins plays an essential role in platelet signal transduction pathways. We studie...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.102.16.1924

    authors: Santos MT,Moscardó A,Vallés J,Martínez M,Piñón M,Aznar J,Broekman MJ,Marcus AJ

    更新日期:2000-10-17 00:00:00

  • Mechanistic target of rapamycin complex 2 protects the heart from ischemic damage.

    abstract:BACKGROUND:The mechanistic target of rapamycin (mTOR) comprises 2 structurally distinct multiprotein complexes, mTOR complexes 1 and 2 (mTORC1 and mTORC2). Deregulation of mTOR signaling occurs during and contributes to the severity of myocardial damage from ischemic heart disease. However, the relative roles of mTORC1...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.113.003638

    authors: Völkers M,Konstandin MH,Doroudgar S,Toko H,Quijada P,Din S,Joyo A,Ornelas L,Samse K,Thuerauf DJ,Gude N,Glembotski CC,Sussman MA

    更新日期:2013-11-05 00:00:00

  • Experience with bretylium tosylate by a hospital cardiac arrest team.

    abstract::The effect of bretylium tosylate (BT) was determined in 27 consecutive cases of resistant ventricular fibrillation (VF) encountered by a hospital cardiac arrest team. The VF was sustained and completely resistant to multiple injections of lidocaine, sequential DC shocks at 400 watt-sec and one or a combination of intr...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.55.3.541

    authors: Holder DA,Sniderman AD,Fraser G,Fallen EL

    更新日期:1977-03-01 00:00:00

  • Ischemia-reperfusion of rat myocardium activates nuclear factor-KappaB and induces neutrophil infiltration via lipopolysaccharide-induced CXC chemokine.

    abstract:BACKGROUND:Mechanisms by which neutrophils are attracted to the myocardium in ischemia/reperfusion are not fully defined. Lipopolysaccharide-induced CXC chemokine (LIX), cytokine-induced neutrophil chemoattractant (KC), and macrophage inflammatory protein-2 (MIP-2) are rodent chemokines with potent neutrophil-chemotact...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.103.18.2296

    authors: Chandrasekar B,Smith JB,Freeman GL

    更新日期:2001-05-08 00:00:00

  • Echocardiographic assessment of left ventricular function in aortic valve disease.

    abstract::Echocardiography was used to study left ventricular size and contraction in 128 patients with isolated aortic valve disease -45 patients with aortic stenosis, 25 with mixed aortic valve disease and 58 with aortic regurgitation. Left ventricular measurements included the end-diastolic internal dimension (LVIDd), mural ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.53.5.860

    authors: McDonald IG

    更新日期:1976-05-01 00:00:00

  • Impact of obesity on plasma natriuretic peptide levels.

    abstract:BACKGROUND:The mechanisms linking obesity to hypertension have not been established, but sodium retention and excessive sympathetic tone are key contributors. The natriuretic peptides are important regulators of sodium homeostasis and neurohormonal activation, raising the possibility that obese individuals have an impa...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000112582.16683.EA

    authors: Wang TJ,Larson MG,Levy D,Benjamin EJ,Leip EP,Wilson PW,Vasan RS

    更新日期:2004-02-10 00:00:00

  • Full prescription coverage versus usual prescription coverage after coronary artery bypass graft surgery: analysis from the post-myocardial infarction free Rx event and economic evaluation (FREEE) randomized trial.

    abstract:BACKGROUND:Eliminating out-of-pocket costs for patients after myocardial infarction (MI) improves adherence to preventive therapies and reduces clinical events. Because adherence to medical therapy is low among patients treated with coronary artery bypass graft surgery (CABG), we evaluated the impact of providing full ...

    journal_title:Circulation

    pub_type: 杂志文章,随机对照试验

    doi:10.1161/CIRCULATIONAHA.112.000337

    authors: Kulik A,Desai NR,Shrank WH,Antman EM,Glynn RJ,Levin R,Reisman L,Brennan T,Choudhry NK

    更新日期:2013-09-10 00:00:00

  • Improvement of regional myocardial metabolism after coronary thrombolysis induced with tissue-type plasminogen activator or streptokinase.

    abstract::To assess the effects on the heart itself of coronary thrombolysis induced with either tissue-type plasminogen activator (t-PA) or streptokinase (SK), we performed positron emission tomography with 11C-palmitate in 19 patients with initial transmural myocardial infarction immediately after admission and again within 4...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.69.5.983

    authors: Sobel BE,Geltman EM,Tiefenbrunn AJ,Jaffe AS,Spadaro JJ Jr,Ter-Pogossian MM,Collen D,Ludbrook PA

    更新日期:1984-05-01 00:00:00

  • Does comorbidity account for the excess mortality in patients with major bleeding in acute myocardial infarction?

    abstract:BACKGROUND:Analyses from randomized controlled trials suggest that bleeding in patients with acute myocardial infarction is associated with poor outcomes. Because these data are not generalizable to all patients with acute myocardial infarction, we sought to better understand the scope of this problem in a "real-world"...

    journal_title:Circulation

    pub_type: 杂志文章,多中心研究

    doi:10.1161/CIRCULATIONAHA.107.694273

    authors: Spencer FA,Moscucci M,Granger CB,Gore JM,Goldberg RJ,Steg PG,Goodman SG,Budaj A,FitzGerald G,Fox KA,GRACE Investigators.

    更新日期:2007-12-11 00:00:00

  • Fractional Flow Reserve and Quality-of-Life Improvement After Percutaneous Coronary Intervention in Patients With Stable Coronary Artery Disease.

    abstract:BACKGROUND:Whether the benefit in quality of life (QOL) after percutaneous coronary intervention depends on the severity of the stenosis as determined by fractional flow reserve (FFR) remains unknown. This study sought to investigate the relationship between FFR values and improvement in QOL. METHODS:From the FAME 1 a...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.118.035263

    authors: Nishi T,Piroth Z,De Bruyne B,Jagic N,Möbius-Winkler S,Kobayashi Y,Derimay F,Fournier S,Barbato E,Tonino P,Jüni P,Pijls NHJ,Fearon WF

    更新日期:2018-10-23 00:00:00

  • Height and incidence of cardiovascular disease in male physicians.

    abstract:BACKGROUND:An inverse association between height and risk of coronary heart disease (CHD) has been reported in several case-control and cohort studies, but the reasons for the association remain uncertain. We evaluated this association among 22,071 male physicians, a population homogeneous for high educational attainme...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.cir.88.4.1437

    authors: Hebert PR,Rich-Edwards JW,Manson JE,Ridker PM,Cook NR,O'Connor GT,Buring JE,Hennekens CH

    更新日期:1993-10-01 00:00:00

  • Enhanced coronary vasoconstriction to endothelin-B-receptor activation in experimental congestive heart failure.

    abstract:BACKGROUND:Endothelin (ET), a coronary vasoconstrictor, mediates its activity through the specific receptors ET-A and ET-B, which may demonstrate different activity under pathophysiological conditions. Thoracic inferior vena cava constriction (TIVCC) is an experimental model of congestive heart failure that is characte...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.93.4.646

    authors: Cannan CR,Burnett JC Jr,Lerman A

    更新日期:1996-02-15 00:00:00

  • Impact of controlled pericardial drainage on critical cardiac tamponade with acute type A aortic dissection.

    abstract:BACKGROUND:Cardiac tamponade is associated with fatal outcomes for patients with acute type A aortic dissection, and the presence of cardiac tamponade should prompt urgent aortic repair. However, treatment of the patient with critical cardiac tamponade who cannot survive until surgery remains unclear. We analyzed our e...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1161/CIRCULATIONAHA.111.082685

    authors: Hayashi T,Tsukube T,Yamashita T,Haraguchi T,Matsukawa R,Kozawa S,Ogawa K,Okita Y

    更新日期:2012-09-11 00:00:00

  • Prognostic value of bisoprolol-induced hemodynamic effects in heart failure during the Cardiac Insufficiency BIsoprolol Study (CIBIS).

    abstract:BACKGROUND:To further evaluate the mechanism of beta-blocker-induced benefits in heart failure, the relationships between bisoprolol-induced hemodynamic effects and survival were studied during the Cardiac Insufficiency BIsoprolol Study (CIBIS). METHODS AND RESULTS:In 557 patients studied, bisoprolol significantly red...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1161/01.cir.96.7.2197

    authors: Lechat P,Escolano S,Golmard JL,Lardoux H,Witchitz S,Henneman JA,Maisch B,Hetzel M,Jaillon P,Boissel JP,Mallet A

    更新日期:1997-10-07 00:00:00

  • HLA-DR/DQ antigens and reactivity to B cell alloantigen D8/17 in Indian patients with rheumatic heart disease.

    abstract::D8/17, a B cell alloantigen, and its occurrence with DR/DQ antigens was examined in 54 patients with rheumatic heart disease and matched North Indian controls. Thirty-four patients (62.9%) carried D8/17 as compared with a frequency of 12.5% in controls (chi 2 by Yates', 18.75; p less than 0.0001). A marginally increas...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.80.2.335

    authors: Taneja V,Mehra NK,Reddy KS,Narula J,Tandon R,Vaidya MC,Bhatia ML

    更新日期:1989-08-01 00:00:00

  • Value of physical signs in the diagnosis of ventricular tachycardia.

    abstract:BACKGROUND:Although the use of physical signs for the diagnosis of ventricular tachycardia (VT) was described in the early 1900s, their value in this role has never been systematically assessed. METHODS AND RESULTS:Using a blinded, randomized protocol, we examined the ability of 26 clinicians to detect ventriculoatria...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.cir.90.6.3103

    authors: Garratt CJ,Griffith MJ,Young G,Curzen N,Brecker S,Rickards AF,Camm AJ

    更新日期:1994-12-01 00:00:00