Perform an exercise provocation in all patients with claudication or pain in the legs while walking and who also have normal resting ankle-brachial index (ABI) values and toe pressures. Letting the patient walk until pain on a treadmill and then immediately putting the patient back in a supine position to perform a post-exercise ABI can quantify the blood pressure drop compared to resting. It is preferred to measure both limbs and the systolic arm pressure at the same time to give an as accurate ABI as possible, taking into account the potential for shifts in systolic pressure for these patients. This objective test makes it easy to confirm or rule out ischemia from the symptom of leg pain while walking.
Perimed provides a customized examination plan for treadmill testing were pressures are assessed before and after the exercise.
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