Exercise induced compartment syndrome was also my first thought. I had a
marathon runner, young and female,  in otherwise perfect health with c/o onset
of pain after the first 5 k into the run to where she could not continue to run.
She came in for testing with normal abi's until we did compartment pressures on
her with an indwelling cath. Her study came back grossly positive for bilateral
compartment syndrome. Came in for two surgical procedures one here and one in
California. Has since returned to long distance running. Interesting case... Ric



"Willis, Chris" wrote:

> Compartment pressure syndrome?
>
> -----Original Message-----
> From: Eric Tyler [mailto:[log in to unmask]]
> Sent: Tuesday, March 02, 2004 3:26 PM
> To: [log in to unmask]
> Subject: Exercise testing
>
> Hi All,
>       I have a question relating to arterial treadmill testing.
> Today I completed an arterial study on a 38 y.o. female who complains of
> foot and calf pain with exercise.  I questioned whether her symptoms are
> vascular in nature as they were not consistent and she has no risk factors.
> Her resting ABI's were (R)1.28 and (L)1.22.   She exercised on the treadmill
> for 5 minutes, 10% grade at 2.5 MPH. She began to have calf pain at about 2
> 1/2 minutes into the study.  Her first post exercise ABI's were (R).89,
> (L).84.  They returned to resting pressures after about 5 minutes.  Her
> pressures were never even close to being poor, 123 mmHg was the lowest. She
> had the same test in 2000 with very similar results.   I have read that a
> pressure of 60 mmHg or less is usually required before arterial
> insufficiency is considered the root of the evil for causing pain.  The
> patient is also a staff member here.  The Dr's here are also fairly
> convinced her pain is not arterial related.  My question is for what reasons
> can the index drop post exercise other than PVD, aortic coarctation, and
> such.  Any ideas are greatly appreciated.  Thanks, Eric
>
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