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CZECH MEDICAL ASSOCIATION J. Ev. PURKYNĚ |
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Česky / Czech version | Vnitř. Lék., 48, 2002, No. 4, p. 344-348 |
Ankle Pressure as an Indicator of the Risk of Generalized Atherosclerosis Spáčil J. III. interní klinika VFN a 1. lékařské fakulty UK, Praha, přednosta prof. MUDr. J. Marek, DrSc. Subkatedra angiologie IPVZ, Praha, vedoucí MUDr. J. Spáčil, CSc. |
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Summary: Contemporary methods of assessment of possible cardiovascular disease based on traditional risk
factors are not perfect. Therefore new ways are sought. Simple and cheap methods include asses-
sment of the blood pressure on the lower extremities above the ankles. The finding of a reduced
index of ankle pressure (ratio of blood pressure above the ankles and pressure on the arm)
indicates affection of the arteries of the lower extremities and a significantly increased risk of
cardiovascular diseases (in particular myocardial infarction and stroke), independently on other
risk factors. Therefore this simple examination should be made in middle aged and elderly sub-
jects with a medium and high cardiovascular risk in order to define more accurately the health
status, and in case of a reduced ankle pressure similar provisions should be made as in patients
with secondary preventive care.
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