Interpretation of Doppler Segmental Pressures in Peripheral Vascular Occlusive Disease

Lynch, Thomas G.; Hobson, Robert W.; Wright, Creighton B.; García, Giovanni; Lind, Richard E.; Heintz, Sharon; Hart, Lawrence E.

doi:10.1001/archsurg.1984.01390160093018

Cited by 30 publications

(4 citation statements)

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“…The ABI was calculated for each leg by dividing the highest ankle pressure by the higher of the two brachial pressures. A value of Ͻ0.90 is reported to be 97% sensitive for isolated aortoiliac disease and 89% sensitive for isolated femoropopliteal disease [20]. For most cross-sectional or prospective studies conducted within the past two decades that involve screening for PVD, the presence of disease was defined by a resting ABI Յ0.90 [21,22].…”

Section: Ankle/brachial Index Testmentioning

confidence: 99%

Knowledge and Awareness of Peripheral Vascular Disease Are Poor Among Women at Risk for Cardiovascular Disease

Bush

Kallen

Liles

et al. 2008

Journal of Surgical Research

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Section: Ankle/brachial Index Testmentioning

confidence: 99%

Knowledge and Awareness of Peripheral Vascular Disease Are Poor Among Women at Risk for Cardiovascular Disease

Bush

Kallen

Liles

et al. 2008

Journal of Surgical Research

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“…1,14,15 Furthermore, several authors have recently questioned the sensitivity of ABI and reported its sensitivity at 60% to 70%, compared with angiography. [16][17][18] Several noninvasive vascular diagnostic tools have been tried to overcome the shortcomings of ABI, which includes toe-brachial index, 19 segmental pressure examination, 20,21 continuous-wave Doppler ultrasound (CWD), 7 postexercise ABIs, 14 and photoplethysmography (PPG). Photoplethysmography is an optical measurement technique to measure blood volume changes.…”

Section: Introductionmentioning

confidence: 99%

Photoplethysmography and Continuous-Wave Doppler Ultrasound as a Complementary Test to Ankle–Brachial Index in Detection of Stenotic Peripheral Arterial Disease

Moon

Kim

et al. 2012

Angiology

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confidence: 99%

“…An ABI of less than 0.90 is 97% sensitive for aorto-iliac disease and 89% sensitive for femoro-popliteal disease. 1 The specificity of an ABI value less than 0.90 is 99%. 2 Aside from an objective assessment of lower limb arterial occlusion, ascertainment of leg symptoms is important to identify patient debilitation.Although intermittent claudication is the most classically recognized symptom of PAD in a clinical setting, patients with PAD are often asymptomatic or have symptoms other than intermittent claudication.…”

mentioning

confidence: 99%

Peripheral arterial disease symptom subtype and walking impairment

2005

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A sensitive noninvasive test for peripheral arterial disease (PAD) is the ankle-brachial (ABI) index, which is a ratio of the systolic blood pressure in the ankle to that in the arm. An ABI of less than 0.90 is 97% sensitive for aorto-iliac disease and 89% sensitive for femoro-popliteal disease. 1 The specificity of an ABI value less than 0.90 is 99%. 2 Aside from an objective assessment of lower limb arterial occlusion, ascertainment of leg symptoms is important to identify patient debilitation.Although intermittent claudication is the most classically recognized symptom of PAD in a clinical setting, patients with PAD are often asymptomatic or have symptoms other than intermittent claudication. 3 Daily function is often compromised in PAD including those patients with asymptomatic disease. 4 Prior studies have assessed the association of the ABI and leg function as well as symptom subtype and functional impairment. 3,5,6 The purpose of this study was to assess functional impairment relative to PAD symptom subtype in a racially diverse population, including Spanish-speaking patients, who were receiving primary health care in Houston, Texas. African Americans and 18 Latinos). The mean age of the cohort was 63.8 years (standard deviation (SD) 7.3). Walking distance, speed and stair climbing scores were lower (p Ͻ 0.0001) for patients with PAD and leg pain on exertion or at rest when compared with patients with PAD without leg symptoms or with symptoms of intermittent claudication. For patients with PAD and leg pain on exertion and at rest, the walking distance score was 27.1 Ϯ SD 37.7 compared with 41.0 Ϯ 38.4 for those with asymptomatic disease who were inactive, and with 38.5 Ϯ 42.7 for those with intermittent claudication (p ϭ 0.02).In an ethnically diverse primary care clinic population, patients with PAD and leg pain on exertion and at rest had greater compromise in their walking ability when compared with patients with intermittent claudication. The reasons for the significant impairment in walking among patients with PAD and these atypical leg symptoms may stem from coexisting illnesses or other as yet undefined factors. Future research should focus on methods to improve daily walking in patients with PAD and atypical leg symptoms.

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Interpretation of Doppler Segmental Pressures in Peripheral Vascular Occlusive Disease

Cited by 30 publications

References 1 publication

Knowledge and Awareness of Peripheral Vascular Disease Are Poor Among Women at Risk for Cardiovascular Disease

Knowledge and Awareness of Peripheral Vascular Disease Are Poor Among Women at Risk for Cardiovascular Disease

Photoplethysmography and Continuous-Wave Doppler Ultrasound as a Complementary Test to Ankle–Brachial Index in Detection of Stenotic Peripheral Arterial Disease

Peripheral arterial disease symptom subtype and walking impairment

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