Document Detail

The cuff width influences the toe blood pressure value.
MedLine Citation:
PMID:  15623196     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Toe blood pressure is a valuable and often used parameter when lower limb ischaemia is evaluated in patients with diabetes, but little has been done to standardise the method. The aim of this study was to evaluate if the cuff size influences the toe blood pressure values obtained in patients with diabetes.
PATIENTS AND METHODS: Eleven patients with diabetes without a history of peripheral vascular disease, and six age matched healthy subjects were investigated. Their blood pressures were measured in the upper arm and at the ankle level repetitively. For measurement of toe blood pressure two different cuff widths were used.
RESULTS: All blood pressures were similar in patients and control subjects, as well as over time. The toe blood pressure values were 18 mmHg higher (p < 0.01) if measured with a 2.0-cm compared to a 2.5-cm wide cuff. There was a relationship (r = 0.63, p < 0.05 for patients) between toe circumference and the toe blood pressure value, where smaller hallluxes gave lower values.
CONCLUSIONS: The cuff width influences the obtained toe blood pressure value and needs to be considered when evaluating limb ischemia in patients with diabetes.
H I Påhlsson; G Jörneskog; E Wahlberg
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Controlled Clinical Trial; Journal Article; Research Support, Non-U.S. Gov't; Validation Studies    
Journal Detail:
Title:  VASA. Zeitschrift für Gefässkrankheiten     Volume:  33     ISSN:  0301-1526     ISO Abbreviation:  VASA     Publication Date:  2004 Nov 
Date Detail:
Created Date:  2004-12-29     Completed Date:  2005-03-08     Revised Date:  2012-10-19    
Medline Journal Info:
Nlm Unique ID:  0317051     Medline TA:  Vasa     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  215-8     Citation Subset:  IM    
Department of Vascular Surgery, Karolinska Hospital, Stockholm, Sweden.
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MeSH Terms
Blood Pressure
Blood Pressure Determination / methods*
Diabetes Mellitus / diagnosis,  physiopathology
Diabetic Foot / diagnosis*,  physiopathology*
Middle Aged
Reproducibility of Results
Sensitivity and Specificity
Toes / blood supply*,  physiopathology*

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

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