Document Detail

Objectifying exercise ischemia in peripheral vascular disease: a study in 120 patients.
MedLine Citation:
PMID:  2375539     Owner:  NLM     Status:  MEDLINE    
This study presents the results of transcutaneous oxygen pressure (TcPO2) monitoring during a treadmill test walk performed in the early stages of peripheral obliterative vascular disease. The study population consisted of a first group of 50 known arteriopathic patients presenting, on questioning, with intermittent claudication; a second group of 50 known arteriopathic patients void of any symptoms of intermittent claudication; and a third group, which was a control cohort of 20 nonarteriopathic, nonclaudicating patients. Though resting TcPO2 cannot be used to aid the clinical diagnosis of exercise ischemia it may be useful in revealing asymptomatic chronic resting ischemia (9% of cases in this series). On the other hand, a posteffort (recovery phase) fall in TcPO2 had a predictive positive diagnostic accuracy for ischemia on exercise in 99% of the cases reported here versus 87% for clinical appraisal. In the light of these results, TcPO2 measurements coupled to a treadmill test walk perfectly ascertain exercise ischemia in arteriopathic patients, whether asymptomatic or not, and avoid the false-positive results obtained by clinical evaluation.
P Caillard; X Mouren; B Pujade; P Blanchemaison; Y Elbeze; M P Cloarec
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Angiology     Volume:  41     ISSN:  0003-3197     ISO Abbreviation:  Angiology     Publication Date:  1990 Jun 
Date Detail:
Created Date:  1990-08-28     Completed Date:  1990-08-28     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0203706     Medline TA:  Angiology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  469-78     Citation Subset:  IM    
Outpatient Policlinic, Tenon Hospital, Paris, France.
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MeSH Terms
Blood Gas Monitoring, Transcutaneous*
Exercise / physiology*
Exercise Test
Intermittent Claudication / blood,  diagnosis*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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