Patients with absent foot pulses should have the pressure index measured to confirm ischemia and to provide a baseline, so that subsequent deterioration can be detected. When the pulses are not palpable and the pressure index is >1, a reduced Doppler arterial waveform usually indicates ischemia. The main advantage in detecting peripheral vascular disease at this stage is that it is a sign of systemic atheroscerosis and treatment should be started with aspirin and statins and other risk factors for arterial disease such as hypertension and smoking should be addressed. If the patient has rest pain, disabling claudication, or the pressure index is below 0.5, further investigations of the peripheral arterial circulation should be carried out as described below under Stage 3.

Was this article helpful?

0 0
Reducing Blood Pressure Naturally

Reducing Blood Pressure Naturally

Do You Suffer From High Blood Pressure? Do You Feel Like This Silent Killer Might Be Stalking You? Have you been diagnosed or pre-hypertension and hypertension? Then JOIN THE CROWD Nearly 1 in 3 adults in the United States suffer from High Blood Pressure and only 1 in 3 adults are actually aware that they have it.

Get My Free Ebook

Post a comment