A-M Salmasi, PhD, A. Nicolaides, MS, FRCS, FRCSE, A

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Presentation transcript:

Intermittent claudication as a manifestation of silent myocardial ischemia: A pilot study A-M Salmasi, PhD, A. Nicolaides, MS, FRCS, FRCSE, A. Al-Katoubi, MD, FRCR, T.N. Sonecha, MRCP, DTM&H, P.R. Taylor, ChM, FRCS, S. Serenkuma, BSc, H.H.G. Eastcott, MS, FRCS, FACS Journal of Vascular Surgery Volume 14, Issue 1, Pages 76-86 (July 1991) DOI: 10.1016/0741-5214(91)90157-P Copyright © 1991 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Position of electrodes on front and back of thorax. Journal of Vascular Surgery 1991 14, 76-86DOI: (10.1016/0741-5214(91)90157-P) Copyright © 1991 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Typical recordings by transcutaneous aortovelography (a) at rest and (b) at the end of standard exercise in a patient demonstrating an increase in Sd. Tf, Flow time; Pv, peak velocity; Sd, stroke distance (1/2; Pv × Tf). Journal of Vascular Surgery 1991 14, 76-86DOI: (10.1016/0741-5214(91)90157-P) Copyright © 1991 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 Typical recordings by transcutaneous aortovelography (a) at rest and (b) at the end of standard exercise in a patient with coronary artery disease. There is a decrease in Sd associated with ST segment depression on the ECG. Journal of Vascular Surgery 1991 14, 76-86DOI: (10.1016/0741-5214(91)90157-P) Copyright © 1991 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 4 The ankle pressure index at rest in 30 patients before and after treatment. The results are presented as median and 90% tolerance levels (90% range). p > 0.05, Wilcoxon rank sum test. Journal of Vascular Surgery 1991 14, 76-86DOI: (10.1016/0741-5214(91)90157-P) Copyright © 1991 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 5 The ankle pressure index 30 seconds after the end of exercise in 30 patients before and after treatment. The results are presented as median and 90% tolerance levels (90% range). p < 0.01, Wilcoxon rank sum test. Journal of Vascular Surgery 1991 14, 76-86DOI: (10.1016/0741-5214(91)90157-P) Copyright © 1991 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 6 The recovery time in 30 patients before and after treatment. The results are presented as median and 90% tolerance levels (90% range). p < 0.01, Wilcoxon rank sum test. Journal of Vascular Surgery 1991 14, 76-86DOI: (10.1016/0741-5214(91)90157-P) Copyright © 1991 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 7 The percentage change in stroke distance (%Δ Sd) in 30 patients before and after treatment. The results are presented as median and 90% tolerance levels (90% range). p < 0.01, Wilcoxon rank sum test. Journal of Vascular Surgery 1991 14, 76-86DOI: (10.1016/0741-5214(91)90157-P) Copyright © 1991 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions