Exercise in the Physical Examination of Peripheral Arterial Disease
Authors: GLEN E. GARRISON
Journal: Annals of Internal Medicine (1967)

Diagnosis And Treatment1 March 1967Exercise in the Physical Examination of Peripheral Arterial DiseaseGLEN E. GARRISON, M.D., WALTER L. FLOYD, M.D., F.A.C.P., EDWARD S. ORGAIN, M.D., F.A.C.P.GLEN E. GARRISON, M.D.Search for more papers by this author, WALTER L. FLOYD, M.D., F.A.C.P.Search for more papers by this author, EDWARD S. ORGAIN, M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-66-3-587 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptAtherosclerotic peripheral arterial disease, a prevalent and disabling condition, has received considerable diagnostic and therapeutic attention in recent years. In the lower extremities the clinically emphasized findings are intermittent claudication, absent pulses, delayed venous filling, pallor of the elevated foot, dependent rubor, ischemic ulcer, and gangrene.During the past few years the authors have become impressed with the importance of auscultation of the arteries, palpation of the pulses, and observation of the skin over the distal part of the extremity both before and after exercise of the extremity in establishing the diagnosis of prominent stenosis in the primary arterial supply...References1. ADAMS FD: Physical Diagnosis, 14th ed. The Williams & Wilkins Co., Baltimore, 1958. Google Scholar2. KAMPMEIR RH: Physical Examination in Health and Disease, 3rd ed. F. A. Davis Co., Philadelphia, 1964. Google Scholar3. BAILEY H: Demonstrations of Physical Signs in Clinical Surgery, 13th ed. The Williams & Wilkins Co., Baltimore, 1960. Google Scholar4. THOREK P: Surgical Diagnosis, 2nd ed. J. B. Lippincott Co., Philadelphia, 1965. Google Scholar5. LUISADA AA: Examination of the Cardiac Patient. The Blakiston Division, McGraw Hill Book Co., Inc., New York, 1965. CrossrefGoogle Scholar6. JUDGEZUIDEMA RDGD: Physical Diagnosis: A Physiologic Approach, 1st ed. Little, Brown and Co., Boston, 1963. Google Scholar7. WINSOR T: Peripheral Vascular Diseases: An Objective Approach. Charles C Thomas, Publisher, Springfield, Ill., 1959. Google Scholar8. RATSCHOW M: Importance of phonoangiography for the evaluation of arterial stenosis. Angiology 13: 290, 1962. CrossrefMedlineGoogle Scholar9. MYERSMURDAUGHMCINTOSHBLAISDELL JDHVHDRK: Observations on continuous murmurs over partially obstructed arteries—an explanation for the continuous murmur found in aortic arch syndrome. Arch. Intern. Med. (Chicago) 97: 726, 1956. CrossrefGoogle Scholar10. EDWARDSLEVINE EAHD: Peripheral vascular murmurs: mechanism of production and diagnostic significance. Arch. Intern. Med. (Chicago) 90: 284, 1952. CrossrefGoogle Scholar11. STEADGREENFIELD EAJC: Pressures and pulses. Physiol. Physicians 2: 1, 1964. Google Scholar12. EDWARDS EA: Peripheral vascular disease: diagnosis and management. DM p. 1, December 1964. Google Scholar13. WYLIEMCGUINNESS EJJS: The recognition and treatment of arteriosclerotic stenosis of major arteries. Surg. Gynec. Obstet. 97: 425, 1953. MedlineGoogle Scholar14. PEARTROB WSC: Arterial auscultation. Lancet 2: 219, 1960. CrossrefGoogle Scholar15. PICKERING GW: High Blood Pressure. Grune & Stratton, Inc., New York, 1955. Google Scholar16. EDWARDSCOHENKAPLAN EANRMM: Effect of exercise on the peripheral pulses. New Eng. J. Med. 260: 738, 1959. CrossrefMedlineGoogle Scholar17. WINSORHYMANPAYNE TCJH: Exercise and limb circulation in health and disease. Arch. Surg. (Chicago) 78: 184, 1959. CrossrefGoogle Scholar18. EDWARDS EA: Atypical manifestations of peripheral arteriosclerosis. New Eng. J. Med. 247: 627, 1952. CrossrefMedlineGoogle Scholar19. EJRUP B: Tonoscillography after exercise. Acta Med. Scand. suppl. 211, 1948. Google Scholar20. MCDONALDSEMPLE LR: An exercise test in intermittent claudication. Brit. Heart J. 14: 91, 1952. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Durham, North CarolinaFrom the Department of Medicine, Duke University School of Medicine, Cardiovascular Disease Service, Duke University Medical Center, Durham, N. C.This study was supported in part by training grant HTS-5369, National Heart Institute, National Institutes of Health, Bethesda, Md.Requests for reprints should be addressed to Glen E. Garrison, M.D., Professor and Chairman, Department of Community Medicine, Medical College of Georgia, Augusta, Ga. 30902. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byDynamic vascular auscultationResponse of Ankle Systolic Pressure to Leg Exercise in Mild or Questionable Arterial DiseaseREFERENCES 1 March 1967Volume 66, Issue 3Page: 587-593KeywordsCardiology and cardiovascular diseasesCardiovascular diseasesCardiovascular therapyDiagnostic medicineDiastoleExerciseHeart diseasesSports and exercise medicineStenosisUlcers Issue Published: 1 March 1967 PDF downloadLoading ...