The Evaluation of Cardiac and Peripheral Arterial Disease in Patients with Diabetes Mellitus

2007 ◽  
Vol 32 (3-4) ◽  
pp. 109-142 ◽  
Author(s):  
Rhuna Shen ◽  
Susan E. Wiegers ◽  
Ruchira Glaser
Keyword(s):  
Diabetes Mellitus ◽  
Peripheral Arterial Disease ◽  
Arterial Disease ◽  
Patients With Diabetes ◽  
Peripheral Arterial

scholarly journals Thermography-based analysis of lower limb vascular response to thermal challenge in patients with diabetes mellitus

2016 ◽  
Vol 15 (1) ◽  
pp. 42-49 ◽  
Author(s):  
D. A. Usanov ◽  
A. V. Skripal ◽  
S. N. Potakhin ◽  
A. A. Sagaidachnyi ◽  
A. V. Fomin ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Peripheral Arterial Disease ◽  
Lower Limb ◽  
Healthy Subjects ◽  
Arterial Disease ◽  
Thermal Impact ◽  
Vascular Response ◽  
Compensation Mechanisms ◽  
Patients With Diabetes ◽  
Peripheral Arterial

The aim of the study - thermography-based analysis of lower limb vascular response to thermal impact in patients with trophic disorders, diabetes mellitus and peripheral atherosclerosis. Materials and methods. Thermal impact was carried out using the heating pad acting for 20 minutes. Control of temperature of back of the feet was performed by thermal imaging camera with a thermal sensitivity of 0.02°C. The study involved a group of 8 subjects without vascular disorders of the lower limbs (controls), and patient group of 8 subjects with trophic disorders due to the progression of diabetes and atherosclerosis (age of 67±8 years). All patients had type 2 diabetes and peripheral arterial disease with different levels and the degree of the main arterial occlusion. Intensity of trophic disorders changed from apical necrosis and trophic ulcers to gangrene of the foot. We calculated spectral amplitude parameters and temperature dynamics. Fourier transform was used to perform spectral analysis of temperature data. Results. Temperature response of limbs in patients with diabetes compared with healthy subjects was characterized by monotonous temperature variation without distinct oscillations; reduction in amplitude of oscillations within endothelial temperature range; relatively high average temperature difference between the left and right foot. In the group of healthy subjects reaction on thermal impact is not strictly two-stage, usually interpretable by theory as primary and secondary vasodilation. Conclusions. Decrease of temperature amplitude of endothelial range registered during thermal impact can be the sign of endothelial dysfunction in patients with diabetes and peripheral arterial disease. Spectral and temperature characteristics of reaction of limbs on thermal impact can be used to assess trophic disorders and compensation mechanisms of regulation of metabolic processes in the group of patients with diabetes mellitus.

scholarly journals Use of pocket pulse oximeters for detecting peripheral arterial disease in patients with diabetes mellitus

2013 ◽  
Vol 03 (02) ◽  
pp. 79-85 ◽  
Author(s):  
Javier Ena ◽  
Carlos R. Argente ◽  
Víctor González-Sánchez ◽  
Natividad Algado ◽  
Gema Verdú ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Peripheral Arterial Disease ◽  
Arterial Disease ◽  
Patients With Diabetes ◽  
Peripheral Arterial ◽  
Pulse Oximeters

scholarly journals Safety of medical compression stockings in patients with diabetes mellitus or peripheral arterial disease

2020 ◽  
Vol 8 (1) ◽  
pp. e001316
Author(s):  
Ulrich Rother ◽  
Anna Grussler ◽  
Colin Griesbach ◽  
Veronika Almasi-Sperling ◽  
Werner Lang ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Peripheral Arterial Disease ◽  
Compression Therapy ◽  
Arterial Disease ◽  
Compression Stockings ◽  
Doppler Flowmetry ◽  
Venous Diseases ◽  
Patients With Diabetes ◽  
Peripheral Arterial ◽  
Medical Compression Stockings

IntroductionCompression therapy is highly effective in the treatment of many venous diseases, including leg edema. However, its relevance in patients with peripheral arterial disease (PAD) or diabetes mellitus is critically discussed. The aim of the present study was to assess the influence of compression therapy on microperfusion and its safety in patients with PAD or diabetes mellitus.Research design and methodsA prospective analysis of 94 consecutive patients (44 patients with diabetes, 45 patients with PAD and 5 healthy controls) undergoing medical compression therapy was performed. Microperfusion was assessed by a combined method of white light tissue spectrometry and laser Doppler flowmetry under medical compression therapy (classes I and II), in different body positions (supine, sitting, standing and elevated position of the leg) and at different locations (great toe, lateral ankle and calf).ResultsDuring the entire study, no compression-related adverse events occurred. Evaluation of microcirculation parameters (oxygen saturation of hemoglobin and flow) at the different locations and in sitting and standing positions (patients with diabetes and PAD) under compression therapy classes I and II revealed no tendency for reduced microperfusion in both groups. In contrast, in the elevated leg position, all mean perfusion values decreased in the PAD and diabetes groups. However, the same effect was seen in the healthy subgroup.ConclusionsIn consideration of the present inclusion criteria, use of medical compression stockings is safe and feasible in patients with diabetes or PAD. This study did not find relevant impairment of microperfusion parameters under compression therapy in these patient subgroups in physiologic body positions.Trial registration numberNCT03384758.

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