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Doppler ultrasound compared with strain gauge for measurement of systolic ankle blood pressure.

Joensen JB, Juul S, Abrahamsen J, Henneberg EW, Lindholt JS

Vascular Surgery Department, Rigshospitalet, Copenhagen, Denmark. stoevrin@tiscali.dk

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.

Published 11 June 2008 in Angiology, 59(3): 296-300.
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