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Alternative names Return to top
Arterial plethysmographyDefinition Return to top
This test measures the systolic blood pressure (maximum pressure exerted when the heart contracts) of a leg compared to the arm. The test is usually performed to rule out blockages in the arms or legs (usually legs).
See also blood flow studies.
How the test is performed Return to top
This test may be done in the health care provider's office or in a hospital. You are placed in a partially propped-up position. Three blood pressure cuffs are wrapped snugly around the arm and leg. They are inflated to 65 mmHg (millimeters mercury), and a pulse volume recorder (plethysmograph) measures the pulse waves from each cuff.
Any differences between the pulse waves are noted. If there is a reduction in any of the waves compared with the others, it may indicate a blockage. When the test is complete, the blood pressure cuffs are removed.
How to prepare for the test Return to top
Refrain from smoking at least 30 minutes before the test. Remove all clothing from the arm and legs.How the test will feel Return to top
There should be minimal discomfort with this test. The pressure of the blood pressure cuff is all you should feel.Why the test is performed Return to top
The test is done to help rule out arterial blockages in the arms or legs.Normal Values Return to top
There should be less than 20 mmHg difference in the systolic blood pressure of the leg compared to the arm.What abnormal results mean Return to top
Abnormal results may indicate arterial occlusive disease, trauma to the arteries, small vessel diabetic changes, blood clots, and vascular diseases.What the risks are Return to top
There are no risks associated with this test.Special considerations Return to top
The test is not as accurate as an arteriography. This may be done for seriously ill patients who cannot be transported to the arteriography laboratory. Update Date: 7/23/2003 Updated by: Hebe Molmenti, M.D., Ph.D., Private practice specializing in Plastic and Reconstructive Surgery, Baltimore, MD. Review provided by VeriMed Healthcare Network.
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Page last updated: 28 October 2004 |