4
Diagnosis
Supervised exercise
program
Structured exercise program that takes place in a hospital or
outpatient facility in which intermittent walking exercise is
used as the treatment modality.
• Program can be standalone or can be made available within
a cardiac rehabilitation program.
• Program is directly supervised by qualified healthcare
provider(s).
• Training is performed for a minimum of 30–45 min per
session, in sessions performed at least 3 times/wk for a
minimum of 12 wk. Patients may not initially achieve these
targets, and a treatment goal is to progress to these levels
over time.
• Training involves intermittent bouts of walking to
moderate-to-maximum claudication, alternating with
periods of rest.
• Warm-up and cool-down periods precede and follow each
session of walking.
Structured
community- or
home- based exercise
program
Structured exercise program that takes place in the personal
setting of the patient rather than in a clinical setting.
• Program is self-directed with the guidance of healthcare
providers who prescribe an exercise regimen similar to that
of a supervised program.
• Patient counseling ensures that patients understand how
to begin the program, how to maintain the program, and
how to progress the difficulty of the walking (by increasing
distance or speed).
• Program may incorporate behavioral change techniques,
such as health coaching and/or use of activity monitors.
Emergency versus
urgent
• An emergency procedure is one in which life or limb is
threatened if the patient is not in the operating room or
interventional suite and/or where there is time for no or
very limited clinical evaluation, typically within <6 h.
• An urgent procedure is one in which there may be time
for a limited clinical evaluation, usually when life or limb
is threatened if the patient is not in the operating room or
interventional suite, typically between 6 and 24 h.
Table 1. Definition of PAD Key Terms (cont'd)
Term Definition
