Diseases

Arteritis: The diagnosis

The first examination is clinical: generally it is the general practitioner who diagnoses arteritis. The patient will often see it by describing a claudication (a limp). He will analyze his general condition, take the blood pressure, palpate the pulse, assess the temperature of the leg.

The simplest exam for diagnosing arteritis, and which can be performed by any doctor, is the measurement of the Ankle Pressure Index (IPS) with a Doppler probe. This is a small device that allows you to listen to and record the passage of blood in the artery. This exam takes 8-10 minutes: the doctor puts a tension device on the patient's ankle and then reports the value of his pressure to the ankle with that measured on the arm. Definition of arteritis: a patient who has a claudication and has an index of pressure at the ankle that is less than 0.90.

Once the arteritis confirmed by the pressure index at the ankle, it is necessary to make a complete Doppler echo. This examination will be done on the arteries of the lower limbs, the aorta, the carotids. This test is painless and has no side effects.

Prevention


For anyone at risk of arteritis prevention is important and is based primarily on the very simple lifestyle habits that characterize a healthy lifestyle.
The prevention of arteritis is based on the correction of cardiovascular risk factors: stopping smoking, losing weight, doing physical activity, correcting cholesterol, treating arterial hypertension, etc.

The most important recommendation is to do at least 30 minutes a day of active walking: the more it will walk, the more the patient will develop an accessory collateral circulation, which will ensure a physiological bypass of the arteries.

The more these instructions are put into practice, the more these cardiovascular risk factors are corrected, the less the risk of developing lesions on the peripheral arteries.

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