Intermittent Claudication

Publication Title: 
Perceptual and Motor Skills

Of the 75 patients in the February 1977 "class" at the Longevity Research Institute, Santa Barbara, California, 11 volunteers were pre- and posttested (21- to 23-day intervals) with the MMPI, 13 with the California Psychological Inventory, and 17 with four subtests of the WAIS (total: 21 males, 10 females). Ten of the (total) 32 scales showed changes in the predicted, favorable direction, statistically significant at the .05 level or better by t test.

Author(s): 
Merzbacher, C. F.
Publication Title: 
Indian Medical Gazette
Author(s): 
Nallapa, J. S.
Publication Title: 
Cardiovascular and Interventional Radiology

We report a case of stent fracture and collapse of balloon-expandable stents caused by shiatsu massage. A 76-year-old man presented with complaints of intermittent claudication of the right lower extremity. Stenoses of the bilateral common iliac arteries (CIAs) were detected. Balloon-expandable stents were deployed in both CIAs, resulting in resolution of symptoms. Five months later, pelvis x-ray showed collapse of both stents. Despite the stent collapse, the patient was asymptomatic, and his ankle brachial index values were within the normal range.

Author(s): 
Ichihashi, Shigeo
Higashiura, Wataru
Itoh, Hirofumi
Sakaguchi, Shoji
Kichikawa, Kimihiko
Publication Title: 
Annales De Cardiologie Et D'angéiologie

Supervised vascular rehabilitation exercises in specialized center are recommended by national guidelines and the benefits are demonstrated by many studies. It integrates global management of cardiovascular disease with risk factors modification, optimum medical treatment and extension assessment. We associate supervised vascular exercise program based on walk and specifics care, such as lymphatic drainage, reflex massage, electrotherapy and patient education.

Author(s): 
Voyer, C.
Publication Title: 
British Heart Journal

OBJECTIVE: To measure the prevalence and incidence of intermittent claudication, to describe the mortality associated wtih the condition, and to assess the relevance of risk factors for vascular disease. DESIGN: A standard questionnaire on calf pain when walking was given in the prospective Speedwell study, and a range of risk factors were measured. The men were re-examined at intervals of three years, and deaths over 11 years were identified. SETTING: The general population. PARTICIPANTS: All men aged 45 to 59 registered with 16 general practitioners.

Author(s): 
Bainton, D.
Sweetnam, P.
Baker, I.
Elwood, P.
Publication Title: 
Journal of Vascular Surgery

OBJECTIVE: The purpose of this study was to determine whether a 6-month exercise rehabilitation program can improve cardiovascular risk factors in patients with peripheral arterial occlusive disease (PAOD). METHODS: Thirty-four patients (mean age, 68 +/- 8 years; range 54-84 years) with PAOD with intermittent claudication (Fontaine stage II) and 14 longitudinal controls of comparable age with stage II PAOD enrolled in an exercise intervention at the University Medical Center and Veterans Affairs Medical Center at Baltimore, Maryland.

Author(s): 
Izquierdo-Porrera, A. M.
Gardner, A. W.
Powell, C. C.
Katzel, L. I.
Publication Title: 
Circulation Journal: Official Journal of the Japanese Circulation Society

BACKGROUND: The primary objective of the present study was to determine whether there is an association between the ankle-brachial index (ABI) and the risk factor profile in patients with newly diagnosed peripheral arterial disease (PAD). A secondary objective was to identify the risk factor profile of these patients, and evaluate how well these factors are controlled in the primary care setting.

Author(s): 
Daskalopoulou, Stella S.
Pathmarajah, Mariasoosai
Kakkos, Stavros K.
Daskalopoulos, Marios E.
Holloway, Pah
Mikhailidis, Dimitri P.
Mayo, Nancy E.
Geroulakos, George
Publication Title: 
Journal of Vascular Surgery

PURPOSE: To determine the effect of metabolic syndrome components on intermittent claudication, physical function, health-related quality of life, and peripheral circulation in patients with peripheral arterial disease (PAD), and to identify the metabolic syndrome components most predictive of each outcome measure. METHODS: Patients limited by intermittent claudication with three (n = 48), four (n = 45), or five (n = 40) components of metabolic syndrome were studied.

Author(s): 
Gardner, Andrew W.
Montgomery, Polly S.
Publication Title: 
Journal of Vascular Surgery

Intermittent claudication is the primary symptom of peripheral arterial disease, affecting between 1 and 3 million Americans. Symptomatic improvement can be achieved by endovascular revascularization, but such procedures are invasive, expensive, and may be associated with procedural adverse events. Medical treatment options, including claudication medications and supervised exercise training, are also known to be effective, albeit also with associated limitations. The CLEVER (Claudication: Exercise Vs.

Author(s): 
Murphy, Timothy P.
Hirsch, Alan T.
Ricotta, John J.
Cutlip, Donald E.
Mohler, Emile
Regensteiner, Judith G.
Comerota, Anthony J.
Cohen, David J.
CLEVER Steering Committee
Publication Title: 
Journal of Vascular Surgery

OBJECTIVE: To assess the gender and ethnic differences in arterial compliance in patients with intermittent claudication. METHODS: A total of 114 patients participated, including 38 Caucasian men, 32 Caucasian women, 16 African American men, and 28 African American women. Patients were assessed on large artery elasticity index (LAEI), small artery elasticity index (SAEI), age, weight, body mass index, ankle-brachial index (ABI), smoking status, and metabolic syndrome components.

Author(s): 
Gardner, Andrew W.
Montgomery, Polly S.
Blevins, Steve M.
Parker, Donald E.

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