Non-invasive diagnostic procedures in peripheral artery disease
Késmárky Gábor, Koltai Katalin, Biró Katalin, Endrei Dóra, Tóth Kálmán
Pécsi Tudományegyetem, Klinikai Központ, I. sz. Belgyógyászati Klinika Kardiológiai és Angiológiai Tanszék, Pécs
European and American societies of cardiology draw attention to peripheral artery diseases due to their increasing number and serious impact on life quality and acute cardiovascular events. Lower extremity artery diseases have higher prevalence than it would be expected based only on the number of patients with intermittent claudication. Cardiovascular risk stratification and instrumental examinations are considered as routine procedures in cardiology; but the proper diagnostic workup is less common regarding peripheral vascular diseases, therefore a large part of the patients is not recognized at all or the diagnosis emerges in an advanced stage. Risk estimation, hand-held Doppler, ankle-brachial index, toe pressure, transcutaneous partial tissue oxygen pressure, and duplex ultrasound imaging would result in the recognition of lower extremity artery diseases in a less advanced phase when appropriate treatment could be set and patients’ regular follow-up could be initiated. This brief summary aims at calling attention to peripheral artery diseases and their non-invasive diagnostics.