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2008 | 80 | 4 | 184-189

Article title

Evaluation of the Dependency Between the Claudication Distance Reported by the Patient and the Ankle-Brachial Index at Rest, and the Distance Covered on the Treadmill Test in Patients with Lower Limb Ischemia

Content

Title variants

Languages of publication

EN

Abstracts

EN
Views concerning the dependency between the claudication distance and ankle-brachial index values are ambiguous.The aim of the study was to determine the correlation between the distance covered during the treadmill test and ankle-brachial index, and the distance covered during the treadmill test and claudication distance reported by the patient.Material and method. The study group contained 75 patients of both genders, above the age of 40 years, treated at the Vascular Disease Outpatient Clinic, diagnosed with one or both-sided intermittent claudication, and with an ankle-brachial index below 0.9. In all patients we evaluated the ankle-brachial index at rest, considering both lower limbs, as well as the claudication distance on the treadmill test (3.2 km/h, 12° gradient). We determined the distance traveled until the manifestation of pain (distance free of pain), and the distance until complete stop (total walking distance). Analysis always considered one (the worse) lower limb of the patient.Results. There was no correlation between the ankle-brachial index and distance covered during the treadmill test. However, there was a statistically significant dependency between the claudication distance reported by the patient, and that observed during the treadmill test. A moderate correlation was observed between the total walking distance and the claudication distance reported by the patient (r= 0.441, p=0.001).Conclusions. 1. The ankle-brachial index at rest should not be used as a measure of the intensification of lower limb ischemia symptoms in patients with intermittent claudication. 2. The claudication distance reported by the patient only moderately correlates with the total observed walking distance.

Year

Volume

80

Issue

4

Pages

184-189

Physical description

Dates

published
1 - 4 - 2008
online
10 - 5 - 2008

Contributors

author
  • Chair and Department of General Surgery, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University, Toruń
  • Chair and Department of General Surgery, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University, Toruń
  • Chair and Department of General Surgery, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University, Toruń
  • Chair and Department of General Surgery, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University, Toruń
  • Chair and Department of General Surgery, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University, Toruń

References

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  • ACC/AHA guidelines for the management of patients with peripheral arterial disease. J Am College Cardiol 2006; 47: 1239-1312.
  • Norgrem L, Hiatt WR et al.: Inter-Society Consensus for the Management of Peripheral Arterial Disease (TASC II). Eur J Vasc Endovasc Surg 2007; 33: supl. 1.[WoS]
  • Caruana MF, Bradbury AW, Adam DJ: The validity, reliability, reproducibility and Extended utility of ankle to brachial pressure index in current vascular surgical practice. Eur J Vasc Endovasc Surg 2005; 29: 443-51.[PubMed][Crossref]
  • Meru AV Mittra S, Thyagarajan B et al.: Intermittent claudication: An overview. Atherosclerosis 2006;187: 221-37.
  • Zierler RE Sumner DS: Physiologic Assesment of Peripheral Arterial Occlusive Disease. W: Rutherford: Vascular Surgery, 6th ed., Copyright 2005 Elsevier: 197-208.
  • McDermott M, Liu K, Greenland P: Functional Decline in Peripheral Arterial Disease. Associoation With the Ankle Brachial Index and Leg Symptoms JAMA 2004; 292(4): 453-61.
  • Izquierdo-Porrera AM, Gardner AW, Bradham DD et al.: Relationship between objective measures of peripheral arterial disease severity to self-reported quality of life in older adults with intermittent claudication. J Vasc Surg 2005; 41(4): 625-30.[Crossref]
  • Long J, Modrall JG, Parker BJ: Correlation between ankle-brachial index, symptoms, and healthrelated quality of life in patients with peripheral vascular disease. J Vasc Surg 2004; 39(4):7 23-27.
  • Resnik HE, Lindsay RS, McDermott MM et al.: Relationship of high and low ankle brachial index to all-cause and cardiovascular disease mortality: the Strong Heart Study. Circulation 2004; 109(6): 733-39.
  • Gardner AW, Montgomery PS, Killewich LA: Natural history of physical function in older men with intermittent claudication. J Vasc Surg 2004 40: 73-78[PubMed][Crossref]

Document Type

Publication order reference

Identifiers

YADDA identifier

bwmeta1.element.-psjd-doi-10_2478_v10035-008-0022-5
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