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Ankle and Toe-Brachial Pressure Index after Exercise in Patients on Maintenance Hemodialysis | OMICS International| Abstract

Atherosclerosis: Open Access
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  • Atheroscler Open Access 2017, Vol 2(1): 105

Ankle and Toe-Brachial Pressure Index after Exercise in Patients on Maintenance Hemodialysis

Kazuo Tsuyuki1*, Kenji Kohno1, Kunio Ebine2, Susumu Tamura2, Yasuhiro Ohzeki2, Toshifumi Murase2, Kaoru Sugi3, Kenta Kumagai3, Itaru Yokouchi3, Kenji Yamazaki3, Satoru Tohi3, Takehiro Ohara4, Takeshi Kawamura4 and Shinichi Watanabe5
1Laboratory of Physiology, Odawara Cardiovascular Hospital, , Kanagawa, Japan
2Division of Cardiovascular Surgery, Odawara Cardiovascular Hospital, , Kanagawa, Japan
3Division of Cardiovascular Medicine, Odawara Cardiovascular Hospital, , Kanagawa, Japan
4Division of Nephrology, Odawara Cardiovascular Hospital, , Kanagawa, Japan
5Department of Clinical Engineering, Kanagawa Institute of Technology, , Kanagawa, Japan
*Corresponding Author : Kazuo Tsuyuki, Odawara Cardiovascular Hospital, 269-1 Yahagi Odawara, Kanagawa, Japan, Tel: +81-465-48-7211, Fax: +81-465-48-1714, Email: [email protected]

Received Date: Dec 05, 2015 / Accepted Date: Jan 23, 2017 / Published Date: Jan 29, 2017

Abstract

In patients undergoing hemodialysis (HD), the incidence of peripheral arterial disease (PAD) is high, leading to a severe condition; therefore, examinations that facilitate early diagnosis are necessary. The diagnostic accuracy of the ankle brachial pressure index (ABI) after walking, of which the cut-off value was corrected for HD patients, is higher than that of the ABI or toe brachial pressure index (TBI) at rest. Furthermore, the TBI after walking transiently induces marked perfusion disorder of the toes. The two procedures are useful for the early diagnosis of latent PAD in HD patients.

Keywords: Peripheral arterial disease; Ankle-brachial pressure index; Toe-brachial pressure index, Exercise

Citation: Tsuyuki K, Kohno K, Ebine K, Tamura S, Ohzeki Y, et al. (2017) Ankle and Toe-Brachial Pressure Index after Exercise in Patients on Maintenance Hemodialysis. Atheroscler open access 2: 105.

Copyright: © 2017 Tsuyuki K, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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