IS IT BETTER TO KEEP DETECTION OF PAD SIMPLE OR MORE SOPHISTICATED?
Matuška J.1, Piťha J.2
1MATMED, Angiology Outpatient Clinic, Hodonín
2Department of Cardiology, Center for Cardiovascular Research, Institute for Clinical and Experimental Medicine, Prague
Early detection of peripheral arterial disease (PAD) is of critical importance not only for better health condition of extremities affected but also for the overall health and prognosis of the given patient; PAD is very often accompanied by coronary heart disease which is the main cause of death. In addition to thoroughly taken medical history and physical examination, many valuable complementary methods have been introduced for PAD detection. Which one should be used preferably is still matter of debate. One approach is to rely on one available, reliable and economically sustainable method. The most frequently proposed one is duplex ultrasound of the vessel system of lower extremities with the potential to detect not only haemodynamically significant stenoses but also non-obstructive atherosclerotic changes, non-atherosclerotic changes, aneurysms, other arterial and venous wall deformities and, last but not least, to detect perivascular pathological structures. Nevertheless, even such an efficient method has its drawbacks. Therefore, other methods to detect vasculopathies by other means are proposed for everyday practice, including ankle brachial index measurements, plethysmography, and others. To what extent these methods should be used or exploited in our offices will be discussed in a slightly conflicting way by two speakers.
Supported by MH CZ – DRO („Institute for Clinical and Experimental Medicine – IKEM, IN 00023001“)