• The Association of Podiatrists of Malta
    Pharmafusion
    Supplier of Fresco Silicone/Felt products.
  • Healthy feet The Association of Podiatrists of Malta, The Association of Podiatrists of Malta
    Healthy Feet
    The majority of the population can maintain healthy feet through education, advice and prompt care.
  • Foot xray The Association of Podiatrists of Malta, The Association of Podiatrists of Malta
    X-ray
    A foot X-ray showing the complex bone system that makes up the human foot
  • The Association of Podiatrists of Malta
    Footwear
    In any environment good footwear is key to preventing foot injuries. Your Podiatrist can help you identify the right footwear depending on your needs.
  • Biomechanics The Association of Podiatrists of Malta, The Association of Podiatrists of Malta
    Biomechanics
    Podiatric Biomechanics is the study of human movement and related pathologies. It allows Podiatrists to interpret movements, identify problems and suggest treatment options.
  • Foot Anatomy The Association of Podiatrists of Malta, The Association of Podiatrists of Malta
    Anatomy
    The human foot and ankle has a complex anatomy. It is composed of the outer skin layer, the vascular system, neuromuscular system and skeletal system. Any of these can develop problems during your lifetime.
Hidden Dangers revealed by Misdiagnosed Peripheral Arterial Disease using ABPI Measurement
Publication Study
Peer Reviewed Journals
Peripheral Vascular Disease (PVD)
Diabetes

Cynthia Formosa , Kevin Cassar, Alfred Gatt, Anabelle Mizzi, Stephen Mizzi, Kenneth P. Camileri, Carl Azzopardi, Clifford DeRaffaele, Owen Falzon, Stefania Cristina, Nachiappan Chockalingam. (2013). Diabetes Foot Research Group, University of Malta. Publishing Journal: Diabetes Research and Clinical Practice.
 

Abstract

Aim

The aim of this study was to compare ankle brachial indices (APBI) with pedal waveforms utilizing the continuous wave Doppler in a population with diabetes mellitus.

Methods

A prospective study design was employed to investigate the ABPI in a cohort of 49 people with type 2 diabetes mellitus. ABPI assessment was completed using a portable handheld Doppler and ankle pressures of <0.9 were taken as suggestive of peripheral arterial disease (PAD). Arterial spectral waveforms in each foot were also recorded and compared to the ABPI readings.

Results

Inconsistencies were identified between ABPIs and waveform interpretations in the study population. Approximately 35% of subjects had inconsistencies between their ABPI result and waveform interpretation in their right or left foot.

Conclusions

Both ABPIs and Doppler waveforms should be used in the assessment of people with diabetes in order to screen for PAD. This would ensure an accurate assessment of PAD and would allow initiation of appropriate secondary risk factor control measures.
 

doi:10.1016/j.diabres.2013.10.006

Copyright © 2013 The Association of Podiatrists of Malta - All rights reserved
Cheap Websites Malta, Inexpensive Websites Malta, Web Development Malta Malta, Home Luxury Living Malta, Malta