Pseudo-high blood pressure in lower limb ischemic patients

VernacularTitle:下肢动脉缺血性患者假性高压的鉴别及临床意义
Author: Yuya ZHANG ; Qinghua WU ; Junhua ZHANG ; Yan LIN ; Pei YANG ; Han ZHOU ; Zhong CHEN
Publication Type:Journal Article
Keywords: Arteriosclerosis obliterans; Diagnosis,differential; Ankle brachial index
From: Chinese Journal of General Surgery 2009;24(6):444-447
CountryChina
Language:Chinese
Abstract: Objective To evaluate the diagnosis of and management for pseudo-high blood pressure in patients with lower limb ischemia. Methods From March 2006 to March 2007, 182 cases with lower limb ischemia were admitted, and they were divided into three groups. In group 1 pseudo-high blood pressure did not exist, in group 2, patients had pseudo-high blood pressure with ABI<1.3, in group 3, patients had pseudo-high blood pressure and with ABI≥1.3. ABI and TBI were compared with color Doppler, angiography, MRA and CTA. Results In all those 182 patients, there were 102(56.0%)cases having no pseudo-high blood pressure, and 27.5% with concomitant diabetes. Seventy-two cases(39.6%) had pseudo-high blood pressure (ABI<1.3) with 44.4% having diabetes. Eight cases (4.4%) (ABI≥ 1.3) manifested pseudo-high blood pressure with the ratio concomitant diabetes being 75%. Conclusions In diabetic patients with lower limb's ischemia there is increased ratio of pseudo-high blood pressure.