Digital pulse volume recording: an essential test for the assessment of arteritis in diabetic patients
LMJ-Lebanese Medical Journal. 1997; 45 (2): 73-7
in English
| IMEMR
| ID: emr-122137
ABSTRACT
The high incidence of medial calcification in the distal arteries of lower extremities in diabetic patients is responsible for most of the errors made in measuring ankle-pressure index. Because digital arteries are rarely calcified, digital pulse volume recording has been proposed as a specific and complementary test. Between march 1993 and march 1996, this test was performed in addition to ankle-pressure index in 66 diabetic patients. The ankle-arm index was overestimated and erroneous in 89.4% of cases. Digital arteries were calcified in 74% of cases and diabetic neuropathy present in 53% of cases. Assessment of the severity of arteritis by digital pulse volume recording [category 1 to 5] has led to better prevention and treatment. It is an essential test for the assessment of arteritis in diabetics, but also for the prediction of success of a surgical procedure distal amputation, lumbar sympathectomy and arterial reconstruction
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Index:
IMEMR (Eastern Mediterranean)
Main subject:
Arteritis
/
Pulse
/
Diabetic Foot
/
Diabetic Angiopathies
/
Extremities
/
Amputation, Surgical
Limits:
Female
/
Humans
/
Male
Language:
English
Journal:
Lebanese Med. J.
Year:
1997
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