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Original Article

Assessment of Peripheral Hemodynamics Using the Doppler Ultrasound in Diabetes Mellitus.

Kim, Tae Ho , Chong, Soon Yeol
Journal of the Korean Academy of Rehabilitation Medicine 1999;23(1):161-167.
Department of Rehabilitation Medicine, Konkuk University College of Medicine.
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Objective: To evaluate peripheral hemodynamics using the doppler ultrasound in the diabetic patients.

Method: We measured mean blood flow velocity (MBFV), resistance index (RI), pulsatility index(PI) in the dorsalis pedis artery (DPA), posterior tibial artery (PTA), and radial artery (RA) from 18 normal controls (n=36), 17 diabetes patients without neuropathy (n=34), and 21 diabetes patients with neuropathy (n=42) by use of Angiodine 2 Doppler system operating at 8 MHz frequency.

Results: MBFV of all the examined arteries increased significantly in the diabetes with neuropathy in comparison to controls and the diabetes without neuropathy (p<0.05). RI and PI of DPA and PTA decreased significantly in the diabetes with neuropathy in comparison to controls and diabetes without neuropathy (p<0.05). The blood flow velocity profile was changed from triphasic to monophasic pattern in the diabetes with neuropathy in DPA and PTA.

Conclusion: The Doppler ultrasound is considered as a useful tool for screening change of peripheral blood flow in the diabetic patients with neuropathy.

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