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Targeted Disease Management Plan for Patients with Peripheral Arterial Disease.

Not Applicable
Recruiting
Conditions
Peripheral Arterial Disease.
Cardiovascular - Diseases of the vasculature and circulation including the lymphatic system
Registration Number
ACTRN12609000942257
Lead Sponsor
ational Health and Medical Research Council (NHMRC)
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
280
Inclusion Criteria

All patients included will have a positive Edinburgh Claudication Scale and/or positive ankle Brachial Index.
These patients will be assessed into two groups of patients;
Low risk group with 1-2 of these risk factors
High Risk group with 3 or more of these risk factors.
Age 50 yrs old or more
Exercise <30 min. a day (what type of exercise performed)
Smoking Current (type/amount) Previous/Passive
Obesity Body Mass Index >28
Social behaviour Depression/history of depression.
Hypertension Systolic >139mm Hg and Diastolic >89mm Hg
Renal impairment Creatinine, = 180 mmol/dL
Blood Glucose level Fasting Glucose, =126 mg/dL
Hyperlipidemia Low density lipid (LDL) >130mg/dL
High Density lipid(HDL) <50mg/dL (women) <49mg/dL (men)

Exclusion Criteria

Patients who have had vascular surgery or plan to have vascular surgery for claudication.
Patients with no risk factors.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Atherosclerotic burden (carotid intima-medial thickness, dobutamine echocardiogram) at 36 months. Ultrasound used to measure the carotid intima-medial thickness.[12, 24 and 36 months after randomisation];Cardiovascular events; Cardiac death/Myocardial Infarction/ Stroke[6, 12, 24 and 36 months after randomisation]
Secondary Outcome Measures
NameTimeMethod
Quality of life measurements; SF12, Hospital Anxiety and Depression Scale (HADS), Vascular Quality of Life Questionnaire (VascuQOL).[Baseline, 6, 12 .24 and 36 months after randomisation];Biochemistry markers: Cholesterol, blood glucose, creatinine - blood tests by an accreditated pathology service.[baseline, 6, 12 .24 and 36 months after randomisation.];Physical parameters: Body Mass Index (BMI), Blood pressure, Pulse. Performed by exercise physiologists.[baseline, 6, 12, 24 and 36 months after randomisation.]
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