社区心血管疾病的早期发现与转诊幻灯片.pptVIP

* * Symptoms of claudication include aching, pain, tiredness, tightness, and cramping in the buttocks, thigh, calf, or foot. These symptoms are brought on by exercise and relieved by rest. They are reproducible with a consistent level of exercise from day to day. Symptoms completely resolve within 5 minutes after exercise stops. They occur again at the same distance once walking resumes. * * This slide illustrates a typical pair of feet with CLI. Note the dark, gangrenous patches on the lateral aspect and heel of the upper right foot. Keywords: typical, CLI * * * * In measuring the ABI, systolic blood pressure is measured in each arm and in the dorsalis pedis and posterior tibial arteries in each ankle by using Doppler ultrasonography. The higher of the two arm pressures is selected, as is the higher of the two pressures in each ankle. The right and the left ABIs are determined by dividing the higher ankle pressure in each leg by the higher arm pressure. In the example illustrated, to calculate the right ABI, the higher of the two right ankle pressures, in this case the dorsalis pedis pressure of 80 mmHg, is divided by the higher of the two arm pressures, which is the left arm pressure of 160 mmHg 80 divided by 160 is 0.5 To calculate the left ABI, the higher of the two left ankle pressures, in this case the posterior tibial pressure of 120 mmHg, is divided by the higher of the two arm pressures, which again is the left arm pressure of 160 mmHg 120 divided by 160 is 0.75 An ABI greater than 0.9 is considered normal. In this example, the right ABI is 0.5, and the left ABI is 0.75. Because both ABIs are less than 0.9, both are abnormal, which indicates the presence of IC in both legs Keywords: ABI, IC * * In 4393 American Indians in their mid- to late-50s who were enrolled in the population-based Strong Heart Study, high ABI (1.40) and low ABI (0.90) were both found to predict mortality. This finding suggests that both upper and lower thresholds for ABI exist