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Angiology
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Doppler Ultrasound Compared With Strain Gauge for Measurement of Systolic Ankle Blood Pressure

J.B. Joensen, MD, PhD

Vascular Surgery Department, Rigshospitalet, Copenhagen, stoevrin{at}tiscali.dk

S. Juul, MD

Institute of Public Health, Department of Epidemiology, University of Aarhus, Aarhus

J. Abrahamsen, MD, DMSc

Department of Clinical Physiology, Viborg Hosptial

E.W. Henneberg, MD

Department of Vascular Surgery (EWH, JSL), Viborg Hospital, Viborg, Denmark

Jes S. Lindholt, MD, PhD

Department of Vascular Surgery (EWH, JSL), Viborg Hospital, Viborg, Denmark

This study assesses measurement variation in the measurement of ankle systolic blood pressure (ABP) when measured with Doppler ultrasound and with the strain gauge method. Ninety-seven patients were included. ABP was measured with Doppler ultrasound and with the strain gauge method. The methods were compared graphically by scatterplots and analyzed by paired t test, analysis of variance, and Pitman's paired variance ratio test. ABP was measured by strain gauge in all extremities, whereas no Doppler signal was obtainable in 7 limbs (4%). There was no systematic difference in measurements between the means of the two measurements. However, a substantial difference of more than 25 mm Hg was found in 15% of limbs and more than 20 mm Hg in 20%. In the majority of patients, measurements of ABP by Doppler ultrasound and the strain gauge method give similar results, but for a minority the discrepancy is substantial.

Key Words: ankle blood pressure • Doppler ultrasound • strain gauge

This version was published on July 1, 2008

Angiology, Vol. 59, No. 3, 296-300 (2008)
DOI: 10.1177/0003319707308198


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