Multifactor Risk Reduction for Optimal Management of PAD

Exclusion Criteria

• •1. Active malignancy or tumor or other condition that would severely limit life expectancy
• •2. Any type of major surgery during the last 3 months (i.e. aortic or lower extremity arterial surgery, angioplasty, or lumbar sympathectomy, leg amputation above the ankle)
• •3. Residence in a long-term institutional setting
• •4. Psychiatric disorders with currently active manifestations
• •5. Uncontrolled metabolic disorders (renal failure, liver failure, thyrotoxicosis)
• •6. Active symptoms suggestive of an acute coronary syndrome or decompensated heart failure
• •7. Lack of phone access (either by self or through neighbors/family members)
• •8. Other specified circumstances incompatible with case-management (i.e., plan to move away from area)
• •9. Presence of another household member or first-degree relative already enrolled in the study
• •10. Current enrollment in another clinical trial
• •11. Regular participation in an exercise program for at least 3 months prior to study entry.