Print

Print


Rob,
        You're going to hear about that one for years buddy.
David

-----Original Message-----
From: Terry Case [mailto:[log in to unmask]]
Sent: Tuesday, March 02, 2004 3:41 PM
To: [log in to unmask]
Subject: Re: Exercise testing


Hi Eric;

The only answer you can provide here is that her right calf pain is
unlikely from any vascular disorder. That's unless you're Rob Daigle and
filled the bladders of the pressure cuffs with cleaning fluid.

Terry Case

-----Original Message-----
From: UVM Flownet [mailto:[log in to unmask]] On Behalf Of Eric
Tyler
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

To unsubscribe or search other topics on UVM Flownet link to:
http://list.uvm.edu/archives/uvmflownet.html

To unsubscribe or search other topics on UVM Flownet link to:
http://list.uvm.edu/archives/uvmflownet.html

To unsubscribe or search other topics on UVM Flownet link to:
http://list.uvm.edu/archives/uvmflownet.html