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This clinical consensus paper presents structured exercise programme modalities and training protocols tailored to symptomatic chronic PAD, with narrative descriptions of patient assessment methods and outcome measures supported by the best available evidence. The document also examines Europe-wide disparities in access to supervised exercise programmes and identifies evidence gaps that require further research.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":41,"@type":70,"position":76},"https://docshare.wps.com/template/letters/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/exercise-therapy-for-chronic-symptomatic-peripheral-artery-disease-clinical-consensus-document/177575/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/exercise-therapy-for-chronic-symptomatic-peripheral-artery-disease-clinical-consensus-document/177575.png","ImageObject",442,249,{"name":88,"@type":89},"Hazel","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/vnd.openxmlformats-officedocument.wordprocessingml.document","2026-10-19","2026-09-02",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",7,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"Who is the intended audience and purpose of this consensus document?","Question",{"text":109,"@type":110},"The document targets clinicians and aims to support the set-up of comprehensive supervised exercise programmes for patients with symptomatic chronic PAD.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"What treatment approach is recommended for PAD patients with exercise-induced limb symptoms?",{"text":114,"@type":110},"Supervised exercise programmes are recommended as the first-line treatment modality.",{"name":116,"@type":107,"acceptedAnswer":117},"How does the document address patients undergoing revascularisation?",{"text":118,"@type":110},"For PAD patients undergoing revascularisation, supervised exercise programmes should be included as adjuvant therapy.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},177575,1788328414,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":40,"category_name":41,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":136,"language":137,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":138,"faqs":139,"seo_title":140,"seo_description":61,"update_tm":126,"read_time":141},137441390410,"https://ap-avatar.wpscdn.com/avatar/2000252f4ab5702993?_k=1776741390130283984","Title page - consensus document\nExercise therapy for chronic symptomatic peripheral artery disease: a clinical consensus document of the ESC Working Group on Aorta & Peripheral Vascular Diseases in collaboration with the European Society of Vascular Medicine, and the European Society for Vascular Surgery\nLucia Mazzolai1*#, Jill Belch2#, Maarit Venermo3#, Victor Aboyans4, Marianne Brodmann5, Alessandra Bura-Rivière6, Sebastien Debus7, Christine Espinola-Klein8, Amy E. Harwood9, John A. Hawley10, Stefano Lanzi1, Juraj Madarič11, Guillaume Mahé12,13, Davide Malatesta14, Oliver Schlager15, Arno Schmidt-Trucksäss16, Chris Seenan17, Henrik Sillesen18, Garry A. Tew19, Adriana Visonà20\n# shared first authors\n1 Angiology Department, Lausanne University Hospital, University of Lausanne, Switzerland\n2 Institute of Cardiovascular Research, University of Dundee, Ninewells Hospital and Medical School, Dundee, Scotland, United Kingdom\n3 Department of Vascular Surgery, Abdominal Center, Helsinki University Hospital, Haartmaninkatu 4, 00029 Helsinki; University of Helsinki, Yliopistonkatu 4, 00100 Helsinki\n4 Department of Cardiology, Dupuytren-2 University Hospital, and EpiMaCT, INSERM 1094/IRD270, Limoges University, Limoges, France\n5 Division of Angiology, Department of Internal Medicine, Medical University, Graz, Austria\n6 Department of Vascular Medicine, Toulouse University Hospital, France\n7 Department of Vascular Medicine, Vascular Surgery - Angiology - Endovascular Therapy University of Hamburg-Eppendorf Hamburg Germany\n8 Center of Cardiology, Department of Cardiology III-Angiology, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany\n9 Department for Sport and Exercise Sciences, Manchester Metropolitan University, Manchester, UK\n10 Exercise and Nutrition Research Programme, Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, VIC, Australia\n11 Department of Angiology, Comenius University and National Institute of Cardiovascular Diseases, Bratislava, Slovakia\n12 Vascular Medicine Unit, Centre Hospitalier Universitaire de Rennes, 35033 Rennes, France\n13 INSERM CIC 1414, Université de Rennes, 35033 Rennes, France\n14 Institute of Sport Sciences, University of Lausanne, Lausanne, Vaud, Switzerland\n15 Division of Angiology, Department of Medicine II, Medical University of Vienna, Vienna, Austria\n16 Division of Sport and Exercise Medicine, Department of Sport, Exercise and Health, University of Basel, Basel, Switzerland\n17 School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK\n18 Department of Vascular Surgery, Rigshospitalet, Blegdamsvej 9, Copenhagen, DK, 2100, Denmark, and Department of Clinical medicine, University of Copenhagen\n19 Institute for Health and Care Improvement, York St John University, York, YO31 7EX, UK\n20 Angiology Unit, Ospedale Castelfranco Veneto, Castelfranco Veneto, Italy\n*Corresponding author\nProf. Lucia Mazzolai\nDivision of Angiology, Heart and Vessel Department\nLausanne University Hospital\nSwitzerland - Ch. de Mont-Paisible 18\n1011 Lausanne, Switzerland\nTél. +41 021 314 07 68\n\u0013 HYPERLINK \"mailto:lucia.mazzolai@chuv.ch\" \u0014lucia.mazzolai@chuv.ch\u0015\u000f\nAbstract\nAll guidelines worldwide strongly recommend exercise as a pillar of the management of patients affected by lower extremity peripheral artery disease (PAD). Exercise therapy in this setting presents different modalities, and a structured programme provides optimal results. This clinical consensus paper is intended for clinicians to promote and assist for the set-up of comprehensive exercise programmes to best advice in patients with symptomatic chronic PAD. Different exercise training protocols specific for patients with PAD are presented. Data on patient assessment and outcome measures are narratively described based on the current best evidence. The document ends by highlighting disparities in access to supervised exercise programmes across Europe, and the series of gaps for ","cbCaiqp3dggnYUwd","https://ap.wps.com/l/cbCaiqp3dggnYUwd","docx",706636,69,"English","# Introduction\n# Consensus statements","[{\"question\":\"Who is the intended audience and purpose of this consensus document?\",\"answer\":\"The document targets clinicians and aims to support the set-up of comprehensive supervised exercise programmes for patients with symptomatic chronic PAD.\"},{\"question\":\"What treatment approach is recommended for PAD patients with exercise-induced limb symptoms?\",\"answer\":\"Supervised exercise programmes are recommended as the first-line treatment modality.\"},{\"question\":\"How does the document address patients undergoing revascularisation?\",\"answer\":\"For PAD patients undergoing revascularisation, supervised exercise programmes should be included as adjuvant therapy.\"}]","Exercise therapy for chronic symptomatic peripheral artery disease - clinical consensus document | DOCX",24]