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Doppler sonographic examination of reactive hyperemia in the diagnosis of peripheral vascular disease
- Source :
- Klinische Wochenschrift. 66:970-975
- Publication Year :
- 1988
- Publisher :
- Springer Science and Business Media LLC, 1988.
-
Abstract
- Fifty-four patients with angiographically confirmed peripheral vascular disease (PVD) were examined in order to find out whether the occlusive form of this disease can be better diagnosed by measuring the reappearance time and mean velocity of the blood flow during reactive hyperemia than by determining the peripheral systolic blood pressure, using Doppler ultrasound for both measurements. It was shown that the Doppler pressure was only reliable for a screening diagnosis of PVD. However, using the reappearance time of reactive hyperemia, it was possible to distinguish specific localization types of sclerosis; while reactive hyperemia already reached its half maximum in controls in 4.6 s this occurred in the stenosis type of PVD after 6.9 s, in the upper leg occlusion type after 21.6 s, in the lower leg occlusion type after 46.6 s, and in the multilevel disease after 70.1 s. The delay in the half-maximum reappearance time was significantly different, not only in comparison with controls (P
- Subjects :
- Male
medicine.medical_specialty
Pathology
Arterial Occlusive Diseases
Hyperemia
Internal medicine
Drug Discovery
Occlusion
medicine
Humans
Ultrasonics
Reactive hyperemia
Genetics (clinical)
Ultrasonography
Leg
Vascular disease
business.industry
General Medicine
Blood flow
Middle Aged
medicine.disease
Peripheral
Intensity (physics)
Stenosis
Blood pressure
Cardiology
Molecular Medicine
Female
business
Subjects
Details
- ISSN :
- 14321440 and 00232173
- Volume :
- 66
- Database :
- OpenAIRE
- Journal :
- Klinische Wochenschrift
- Accession number :
- edsair.doi.dedup.....5c536c1e12116f359d6570711cfbc2e7