Background: Peripheral arterial disease is known to be associated with the diabetes and ankle-brachial pressure index (ABPI) can be used to screen such patients having PAD. Aims & Objective: To highlight the application of ankle brachial pressure index as a routine procedure and to assess the feasibility of using ABPI in detecting PAD in the patients of diabetes mellitus. Material and Methods: ...

Received Accepted Med Ultrason 2012, Vol. 14, No 1, 74-77 Corresponding author: Sorin Crişan, MD PhD Assoc. Prof. of Internal Medicine 5th Medical Clinic Str.Tăbăcarilor 11, Zip Code 400139 Phone: + 40722550880 Email: [email protected] Doppler ultrasonography of the femoral-popliteal segment is preceded by clinical examination and anklebrachial pressure measurement. This important noninvas...

S erotonin (5-hydroxytryptamine [5-HT]) mediates vasoconstriction and induces the activation of platelets, which may promote atherosclerosis. Plasma 5-HT concentrations have been reported to be high in diabetic patients (1,2); this may be one of the underlying mechanisms of diabetes complications. The 5-HT2A receptor has been identified in glomerular mesangial cells (3), suggesting involvement ...

An 87yearold man presented with recent intermittent claudication in the thighs and calves. Moreover, he complained of bilateral calf and foot pain at midnight. He was a former smoker and had a significant medical history of hypertension, hyperlipidemia, and depression. On physical examination, we found that his dorsal artery pulse was reduced, and he had an anklebrachial index score of 0.4 in b...

BACKGROUND The prevalence of carotid artery stenosis (CAS) in the general population is not high enough to justify screening programs. This study was done to determine the prevalence of asymptomatic carotid artery stenosis (ACAS) among patients with severe peripheral vascular disease (PVD). METHODS Between March 2005 and February 2006, 54 consecutive patients with severe PVD admitted at a vas...

Despite lack of objective evidence based-support, lumbar sympathectomy (LS) continues to hold a place in the treatment of refractory ischemic ulceration or persistent rest pain, especially when there is a distal ischemia, which is not suitable for direct arterial surgery. There is no physiological basis to use lumbar sympathectomy for patients with intermittent claudication. The non-specificity...

The causes of chronic unilateral leg swelling include common manifestations such as venous insufficiency, varicosis, deep vein thrombosis, and persistent cellulitis, less commonly are secondary lymphedema (tumor, radiation, and surgery), pelvic tumors or lymphoma causing pressure on the veins, and reflex sympathetic dystrophy, and rarely congenital venous malformation, pregnancy, and iliac vein...