Chapter 8: Exercise Testing

Question 1

What is the most common symptom of peripheral arterial disease

Answer 1

exertional pain

Question 2

interpretation post treadmill exercise

Answer 2

-drop in ankle pressure >20 mm/Hg confirms vascular etiology for claudication

Question 3

a 2–6-minute recover time for post treadmill exercise?

Answer 3

consistent with single level disease

Question 4

a recover time of 6-12 minutes post treadmill exercise

Answer 4

consistent with multi-level disease

Question 5

what is an alternative method for stressing the peripheral arterial circulation when patients are poor ambulators, have poor cardiac or pulmonary status or limiting disease on the contralateral limb

Answer 5

post occlusive reactive hyperemia (PORCH)

Question 6

describe the PORCH method

Answer 6

-bilateral thigh cuffs are inflated o supra-systolic pressure 20-30 mm/Hg above brachial pressure for 3-5 minutes
-produces ischemia induced vasodilation distally
-ankle pressures obtained immediate release of cuff occlusion

Question 7

<50% drop in pressure with the PORCH method

Answer 7

consistent with single level disease

Question 8

> 50% drop in pressure withe PORCH method

Answer 8

consistent with multi level disease