The utility of pulse volume waveforms in the identification of lower limb arterial insufficiency
Davies, Jane H.
Lewis, Jane E. A.
Williams, E. Mark
MetadataShow full item record
Background: The ankle brachial index is widely used for non-invasive assessment of lower limb arterial status, but has recognised limitations. The most significant limitation involves arterial calcification, which results in artefactually raised occlusion pressures and uninformative ankle brachial indices. Hypothesis: Analysis of the pulse volume waveform is useful for identification of lower limb arterial insufficiency in the presence of arterial calcification. Method: Individuals (n = 1101) registered at a Welsh general practice were invited to undergo cardiovascular risk assessment. The ankle brachial index was measured using an automated device utilising volume plethysmography and the traditional Doppler ultrasound method. Results: Eight percent of participants (30/368) had an ankle brachial index â‰¥1.3, suggesting possible arterial calcification; consideration of the pulse volume waveform in these cases identified possible mild peripheral arterial disease in three cases (10%). Furthermore, in one case, the ankle brachial indices were within the normal range, but the pulse volume waveforms suggested a moderate degree of arterial insufficiency; this participant was subsequently diagnosed with bilateral superficial femoral artery stenoses and treated accordingly. Conclusion: Pulse volume waveforms can be easily utilised as an adjunct to ankle brachial index measurement to identify patients who may benefit from further vascular assessment and intervention.
Davies, J.H., Lewis, E.A. and Williams, E.M. (2014) 'The utility of pulse volume waveforms in the identification of lower limb arterial insufficiency', EWMA Journal, 14 (2), pp. 21-25.
This article was published in EWMA Journal in October 2014, available open access online at http://old.ewma.org/fileadmin/user_upload/EWMA/pdf/journals/Scientific_articles/Articles_October_2014/Davies_Jane_The_utility_of_pulse_volume_waveforms.pdf
Knowledge Economy Skills Scholarship (KESS). This is a major European Convergence programme led by Bangor University on behalf of the HE sector in Wales. Benefiting from European Social Funds (ESF), KESS supports collaborative research projects (in this case, University of South Wales and Huntleigh Healthcare).
Showing items related by title, author, subject and abstract.
Non-invasive assessment of peripheral arterial disease: Automated ankle brachial index measurement and pulse volume analysis compared to duplex scan Lewis, Jane E. A.; Williams, Paul; Davies, Jane H. (Sage, 2016-07-12)Objectives: This cross-sectional study aimed to individually and cumulatively compare sensitivity and specificity of the (1) ankle brachial index and (2) pulse volume waveform analysis recorded by the same automated device, ...
Davies, Jane H.; Lewis, Jane E.A.; Williams, E. Mark (European Wound Management Association, 2014)Background: The ankle brachial index is widely used for non-invasive assessment of lower limb arterial status, but has recognised limitations. The most significant limitation involves arterial calcification, which results ...
Aortic Calcification Is Associated With Aortic Stiffness and Isolated Systolic Hypertension in Healthy Individuals McEniery, Carmel; McDonnell, Barry; So, Alvin; Aitken, Sri; Bolton, Charlotte; Munnery, Margaret; Hickson, Stacey; Maki-Petaja, Kaisa; Cockcroft, John R.; Dixon, Adrian; Wilkinson, Ian (American Heart Association, 2009)Arterial stiffening is an independent predictor of mortality and underlies the development of isolated systolic hypertension (ISH). A number of factors regulate stiffness, but arterial calcification is also likely to be ...