Intended for healthcare professionals


Preventing and detecting early vascular effects of diabetes: Word of caution on peripheral arterial assessment

BMJ 2006; 333 doi: (Published 14 September 2006) Cite this as: BMJ 2006;333:602
  1. Saurabh Rai, vascular research fellow (
  1. University of Birmingham NHS Trust, Selly Oak, Birmingham B29 6JD

    EDITOR—Marshall and Flyvbjerg's clinical review gives contradictory information about measuring the ankle-brachial pressure ratio in diabetic patients, as well as portraying an unrealistic picture of the assessment of peripheral arterial disease in them.1

    Firstly, 10-15% of diabetic patients may have a falsely raised ankle-brachial pressure ratio because early calcification of the tunica media renders the arteries incompressible.2 This should not be …

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