Assessment of Toe Blood Pressure Is an Effective Screening Method to Identify Diabetes Patients with Lower Extremity Arterial Disease
| العنوان: | Assessment of Toe Blood Pressure Is an Effective Screening Method to Identify Diabetes Patients with Lower Extremity Arterial Disease |
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| المؤلفون: | Kristina Öjbrandt, David Sahli, Maria Svensson, Mats Eliasson, Björn Eliasson, Göran Blohmé, Pär Samuelsson, Jan W. Eriksson |
| المصدر: | Angiology. 55:641-651 |
| بيانات النشر: | SAGE Publications, 2004. |
| سنة النشر: | 2004 |
| مصطلحات موضوعية: | Adult, Male, musculoskeletal diseases, medicine.medical_specialty, Arteriosclerosis, Hemodynamics, Physical examination, 030204 cardiovascular system & hematology, Diabetic angiopathy, Vibration, 03 medical and health sciences, 0302 clinical medicine, Risk Factors, Diabetes mellitus, Internal medicine, medicine, Humans, Longitudinal Studies, 030212 general & internal medicine, Aged, medicine.diagnostic_test, Vascular disease, business.industry, Blood Pressure Determination, Middle Aged, Toes, medicine.disease, Surgery, Cross-Sectional Studies, Diabetes Mellitus, Type 1, Peripheral neuropathy, Blood pressure, Diabetes Mellitus, Type 2, Case-Control Studies, Toe Brachial Index, Cardiology, Regression Analysis, Female, Ankle, Cardiology and Cardiovascular Medicine, business, Diabetic Angiopathies |
| الوصف: | The authors evaluated a screening program for lower extremity arterial disease (LEAD) in diabetic patients and focused on the value of toe blood pressure assessment. They recruited 437 subjects, ages 30-70 years (134 healthy controls, 166 type 1 and 137 type 2 diabetic patients; control [Ctr], DM1, and DM2) with no previous history of LEAD. They were enrolled in a longitudinal study with a planned follow-up of 10 years. Patients were consecutively enrolled from outpatient diabetes units of 2 university hospitals. Subjects were screened with respect to peripheral circulation by use of established noninvasive techniques. These included arm, ankle (AP), and toe (TP) blood pressure measurements; evaluation of peripheral neuropathy; and a standardized physical examination. Results from the baseline examination are presented in this report. The number of patients who presented peripheral pressures or indices below normal (< mean -2 SD for controls) was higher among diabetic patients; 24% of DM1 and 31% of DM2, as compared to 6% of Ctr, had at least 1 lower limb with a low TP, AP, toe/arm index (TI), or ankle/arm index (AI), and these subjects were mainly identified by using the toe/arm index. TI was independently and negatively associated with fasting blood glucose in both patient groups, and with smoking, age, and diabetes duration in DM1. The mean AP was higher in the DM1 and DM2 groups compared to Ctr, whereas overall TP, TI, and AI were similar in the groups. It was also shown that abnormally low TI was significantly more common than low AI among diabetics (p |
| تدمد: | 1940-1574 0003-3197 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::b7dec83fcff1e0562063100ee8acaa24Test https://doi.org/10.1177/00033197040550i605Test |
| حقوق: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....b7dec83fcff1e0562063100ee8acaa24 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 19401574 00033197 |
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