J Korean Diabetes > Volume 20(1); 2019 > Article
The Journal of Korean Diabetes 2019;20(1):17-23.
DOI: https://doi.org/10.4093/jkd.2019.20.1.17    Published online April 4, 2019.
말초혈관질환의 진단: 2016 American Heart Association/ American College of Cardiology 및 2017 European Society of Cardiology 가이드라인을 중심으로
허규연
Diagnosis of Peripheral Artery Disease: Focus on the 2016 American Heart Association/American College of Cardiology and 2017 European Society of Cardiology Guidelines.
Kyu Yeon Hur
Division of Endocrinology and Metabolism, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. ky.hur@samsung.com
Abstract
Peripheral artery disease (PAD) is the most frequent cause of reduced perfusion in peripheral arteries. Patients with PAD often have manifestations of atherosclerosis of the lower limb, although both symptomatic and asymptomatic disease is common. The clinical signs of PAD can differ in diabetic and non-diabetic patients. Diabetic patients are at high risk for PAD characterized by symptoms of intermittent claudication or critical limb ischemia. However, the majority of PAD patients are clinically asymptomatic. In addition to history taking, physical examinations including inspection of the skin, palpation of leg and foot pulses, and determination of the ankle-brachial index (ABI) are considered for diagnosis of PAD. The ABI measurement is the easiest and most common investigative technique for PAD. For hemodynamic assessment, additional diagnostic modalities could be considered.
Key Words: Ankle brachial index, Diabetes mellitus, Peripheral arterial disease
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