Intermittent Claudication in Patients with Peripheral Arterial Disease
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Men and women 40 years or older; at least 3-month history of stable IC (Rutherford class 2 or 3) secondary to lower extremity PAD; PAD defined as resting ABI =10mmHg decrease in ankle artery blood pressure after exercise. In patients with non-compressible vessels (ABI >1.50), the toe–brachial index (TBI) at rest has to be <0.70; Reproducible walking distances with <25% variance between 2 baseline treadmill tests and who terminated all screening treadmill tests solely because of IC pain
Exclusion criteria
Exclusion criteria: Critical limb ischemia defined by ischemic rest pain, ulceration, or gangrene (Rutherford class >=4); Major lower limb amputation (above or below knee amputation); Surgical or endovascular revascularization for PAD within 3 months; Exercise limitation due to significant concomitant disease (e.g. severe hip or knee arthritis, coronary artery disease, heart failure, chronic obstructive airway disease); Concomitant anticoagulation therapy (e.g. warfarin); Pregnancy or breastfeeding; Unable to complete the screening and follow-up treadmill protocols.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| change in total distance walked from beginning treadmill walking until the subject can walk no further; | — |
Secondary
| Measure | Time frame |
|---|---|
| change in distance walked at the onset of claudication;QoL;functional status;ABI before and after exercise;combined cardiovascular events including vascular death, myocardial infarction, stroke, revascularization or readmission to hospital for a vascular or atherosclerosis-related complication; | — |
Countries
China
Contacts
Chinese University of Hong Kong