Peripheral arterial occlusive disease (PAOD) of the legs goes unnoticed for a long time. Symptoms are then load-dependent pain in the legs. The pAVK can be diagnosed by simple examinations.
This includes a physical examination with pulse keys and stethoscope. The so-called Doppler pen probe offers a high level of diagnostic reliability. This is how it works:
- the systolic blood pressure is measured with cuff and double pin on leg and arm
- the quotient of pressure on leg and arm = ankle/arm index is then determined
- If the ankle/arm index is above 1.0, this is normal; a value below 0.9 is considered proof of pAVK.
- this proof is possible even before symptoms appear
Further diagnostic procedures usually follow, for example:
- Treadmill test to objectify the walking distance
- color-coded ultrasound
- Angio-MRI and angiography for therapy planning
In an initial diagnosis, the risk of frequent concomitant diseases is also assessed. For example, the risk of myocardial infarction using exercise ECG and heart ultrasound and the risk of stroke using ultrasound examination of the arteries supplying the brain.
Ⓒ Cardiopraxis – Cardiologists in Düsseldorf & Meerbusch