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Peripheral artery disease (PAD) is a form of peripheral vascular disease. Vascular refers to the arteries and veins within the body. PAD differs from peripheral veinous disease. PAD means the arteries are narrowed or blocked—the vessels that carry oxygen-rich blood as it moves from the heart to other parts of the body.
Buerger's test is performed in an assessment of arterial sufficiency. It is named after Leo Buerger . The vascular angle , which is also called Buerger's angle , is the angle to which the leg has to be raised before it becomes pale, whilst lying down .
Buerger's test (assessment of arterial sufficiency): With the patient supine, note the colour of the feet soles. They should be pink. Then elevate both legs to 45 degrees for more than 1 minute. Observe the soles. If there is marked pallor (whiteness), ischemia should be suspected. Next check for rubor of dependency.
The most common test though to diagnose peripheral artery disease is the ankle-brachial index, or ABI, where blood pressure is taken in the ankle and in the arm, and then compared. Peripheral artery disease is typically diagnosed if the systolic blood pressure in the ankle divided by the systolic blood pressure in the arm is less than 0.9.
PAD: peripheral artery disease (aka peripheral artery occlusive disease) postadmission day (e.g. PAD 6 equals the sixth day of being in hospital) peripheral airspace disease Passively Acquired anti-D PAE: prostatic artery embolization: PAF: platelet-activating factor paroxysmal atrial fibrillation (meaning intermittent AF) PAH
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The ABPI test is a popular tool for the non-invasive assessment of Peripheral vascular disease (PVD). Studies have shown the sensitivity of ABPI is 90% with a corresponding 98% specificity for detecting hemodynamically significant ( stenosis of more than 50%) in major leg arteries, defined by angiogram.