电邮这篇文章 The use of oscillometric higly accurate blood pressure monitor for the determination of the ankle-brachial index in examination of patients at suspicion on lower limbs arteries atherosclerosis
- 作者: Karlov A.A1, Karlova N.A.1, Zolozova E.A1, Mazur N.A1, Sayutina E.V1, Chigineva V.V1
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隶属关系:
- Russian Medical Academy of Postgraduate Education
- 期: 卷 19, 编号 1 (2016)
- 页面: 40-45
- 栏目: Articles
- URL: https://bakhtiniada.ru/1560-9537/article/view/35936
- DOI: https://doi.org/10.18821/1560-9537-2016-19-1-40-45
- ID: 35936
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全文:
详细
Atherosclerotic involvement of lower limbs arteries is a common disorder associated with a high risk of cardiovascular morbidity and mortality, requiring an early start of the comprehensive therapy. Typical clinical manifestations of this disease are found only in some patients that encumbers to make timely diagnosis. Determination of ankle-brachial index (ABI) is a reliable approach of the assessment of the state of blood flow in the lower extremities, but the classical technique requires the participation of specially trained personnel and expensive equipment. In the article there is discussed the use of widely available oscillometric blood pressure monitors for the determination of ABI. In a group of 39 patients with high risk of the development of atherosclerosis there was performed a comparison of the results of the determination of ABI with the help of oscillographic blood pressure monitors and ABI evaluated by the method of volumetric sphygmography. There was shown the sufficient accuracy of the determination of ABI with the aid of oscillographic blood pressure monitors and the interrelationship of this index with the risk of detection ofsignificant atherosclerotic involvement of lower limbs arteries according to Doppler ultrasound data. There was demonstrated that this method can be used at the stage of outpatient examination of patients with a high risk for atherosclerotic involvement of lower limbs arteries.
作者简介
A. Karlov
Russian Medical Academy of Postgraduate EducationMoscow, 125993, Russian Federation
Nataliya Karlova
Russian Medical Academy of Postgraduate Education
Email: dr_owl@land.ru
MD, PhD, associate Professor of the Department of cardiology Moscow, 125993, Russian Federation
E. Zolozova
Russian Medical Academy of Postgraduate EducationMoscow, 125993, Russian Federation
N. Mazur
Russian Medical Academy of Postgraduate EducationMoscow, 125993, Russian Federation
E. Sayutina
Russian Medical Academy of Postgraduate EducationMoscow, 125993, Russian Federation
V. Chigineva
Russian Medical Academy of Postgraduate EducationMoscow, 125993, Russian Federation
参考
- Criqui M.H., Langer R.D., Fronek A., Feigelson H.S., Klauber M.R., McCann T.J., Browner D. Mortality over a period of 10 years in patients with peripheral arterial disease. N. Engl. J. Med. 1992; 326: 381-6.
- Newman A.B., Sutton-Tyrrell K., Vogt M.T., Kuller L.H. Morbidity and mortality in hypertensive adults with a low ankle/arm blood pressure index. J.A.M.A. 1993; 270: 487-9.
- Vogt M.T., McKenna M., Anderson S.J., Wolfson S.K., Kuller L.H. The relationship between ankle-arm index and mortality in older men and women. J. Am. Geriatr. Soc. 1993; 41: 523-30.
- Vogt M.T., Cauley J.A., Newman A.B., Kuller L.H., Hulley S.B. Decreased ankle/arm blood pressure index and mortality in elderly women. J.A.M.A. 1993; 270: 465-9.
- Golomb B.A., Dang T.T., Criqui M.H. Peripheral arterial disease morbidity and mortality implications. Circulation. 2006; 114: 688-99.
- getABI Study Group. German epidemiological trial on ankle brachial index for elderly patients in family practice to detect peripheral arterial disease, significant marker for high mortality. VASA. 2002; 31 (4): 241-8.
- Newman A.B., Shemanski L., Manolio T.A. et al. Ankle-arm index as a predictor of cardiovascular disease and mortality in the Cardiovascular Health Study. Arterioscler. Thromb. Vasc. Biol. 1999; 19: 538-45.
- CAPRIE Steering Committee. A randomised, blinded, trial of clopidogrel versus aspirin in patients at risk of ischaemic events (CAPRIE). Lancet. 1996; 348: 1329-39.
- Criqui M.H., Langer R.D., Fronek A., Feigelson H.S., Klauber M.R., McCann T.J., Browner D. Mortality over a period of 10 years in patients with peripheral arterial disease. N. Engl. J. Med. 1992; 326 (6): 381-6.
- Hooi J.D., Kester A.D., Stoffers H.E., Rinkens P.E., Knottnerus J.A., van Ree J.W. Asymptomatic peripheral arterial occlusive disease predicted cardiovascular morbidity and mortality in a 7-year follow-up study. J. Clin. Epidemiol. 2004; 57: 294-300.
- Inglis S.C., Pfeffer M.A., Zannad F. et al. Peripheral artery disease as a predictor of outcome in high-risk MI patients: pooled analysis from the high risk MI database initiative. Eur. Heart J. 2010; 31 (Abstr. Suppl.): 604.
- Pokorski R.J. Effect of peripheral vascular disease on long-term mortality after coronary artery bypass graft surgery. J. Insur. Med. 1997; 29: 192-4.
- Hirsch A.T., Murphy T.P., Lovell M.B., Twillman G., Treat-Jacobson D., Harwood E.M. et al. Gaps in public knowledge of peripheral arterial disease. The First National PAD Public Awareness Survey. Circulation. 2007; 116: 2086-94.
- The sixth report of the Joint National Committee on Prevention Derection, Evaluation, and Treatment of High Blood Pressure. Arch. Intern. Med. 1997; 157: 2413-46.
- Mohler E.R. Peripheral arterial disease. Identification and implications. Arch. Intern. Med. 2003; 163: 2306-14.
- De Liefde I.I., Van Domburg R.T. et al. Exercise ankle brachial index add important prognostic information on long-term out-come in patients with normal resting ankle brachial index. Eur. Heart J. 2010; 31 (Abstr. Suppl.): 922-3.
- Wild S.H., Byrne C.D., Smith F., Lee A.J., Fowkes F.G. Low anklebrachial pressure index predicts increased risk of cardiovascular disease independent of the metabolic syndrome and conventional cardiovascular risk factors in the edinburgh artery study. Diabet. Care. 2006; 29 (3): 637-42.
- Sukhija R., Aronow W.S., Yalamanchili K., Peterson S.J., Frishman W.H., Babu S. Association of ankle-brachial index with severity of angiographic coronary artery disease in patients with peripheral arterial disease and coronary artery disease. Cardiology. 2005; 103: 158-60.
- Национальные рекомендации по диагностике и лечению артериальной гипертонии. Кардиоваскулярная терапия и профилактика. 2008; 7 (6): прил. 2.
- Diagnosis and Treatment of Peripheral Artery Diseases (ESC Clinical Practice Guidelines. 2011.
- Management of Arterial Hypertension (ESC Clinical Practice Guidelines). Eur. Heart J. 2007; 28: 1462-536.
- Рогоза А.Н., Балахонова Т.В., Чихладзе Н.М. Методы определения лодыжечно-плечевого индекса систолического давления при массовых обследованиях. Consilium Medicum. 2009; 11 (10): 66-71.
- Рогоза А.Н. Роль и возможности лодыжечно-плечевого индекса систолического давления при профилактических обследованиях. Русский медицинский журнал. Кардиология. 2011; 19 (2): 1-8.
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