A successful therapy is preceded by careful diagnostics.
The Ankle Brachial Index (ABI) has the greatest predictive power for myocardial infarction, stroke and mortality. Compared with the angiogram as the gold standard, an ABI value below 0.9 indicates a circulatory disorder with a sensitivity of up to 95% and, conversely, excludes the disease with almost 100% specificity in healthy individuals.
For the examination, blood pressure cuffs are placed on both arms and both legs and the blood pressure is then determined simultaneously on all four extremities. In this way, circulatory disorders in one of the four extremities can be detected with a high degree of probability. As many as 1 in 5 people over the age of 65 show signs of a circulatory disorder, which also means an increased risk of stroke and heart attack.
With increasing age and the accumulation of risk factors such as hypertension, diabetes mellitus, dyslipidemia and nicotine consumption, the blood vessels stiffen and their elasticity decreases. The increase in vascular stiffness has a major impact on cardiovascular function and therefore has important prognostic significance and therapeutic consequences. Among other things, it is responsible for the increase in blood pressure and promotes arteriosclerosis.
In our practice we have a corresponding device and can therefore offer our patients this useful preventive service throughout. However, the statutory health insurance companies do not cover the costs in most cases. We will be happy to inform you accordingly.
Pulse wave analysis – Do you know your vascular age?
In young people, blood vessels are still very elastic. With increasing age, however, the vessels become stiffer as elastic fibers (elastin) are replaced by the tighter collagen, which leads to calcification of the blood vessels: Vascular age increases. This natural process is accelerated by additional risks – nicotine, high blood pressure, diabetes, elevated cholesterol levels.
Pulse wave analysis is used for early detection of hypertension and vascular calcification and measures pulse wave velocity as an indicator of vascular stiffness. The increase in vascular stiffness significantly influences cardiovascular function and therefore has important prognostic significance and therapeutic consequences. Among other things, it is responsible for the increase in blood pressure.
For a long time, pulse wave analysis was only possible via complex invasive procedures. In the meantime, there is a device that simply measures the upper arm blood pressure 2 times and thus enables pulse wave analysis. This procedure comes very close to invasive measurement and thus enables broad application in the outpatient setting.
If you want to know for sure how your blood vessels are doing, you should have a pulse wave analysis performed. Because according to the motto “Man is as old as his blood vessels”, this topic concerns everyone. Pulse wave analysis determines a patient’s biological vascular age by non-invasively measuring arterial vascular elasticity. The analysis has been recommended by the European Hypertension Society since 2007 as a very accurate biomarker for early vascular changes.
Depending on the result of the pulse wave analysis, a further consequence results directly, e.g. further examinations can then be initiated to clarify an unexpectedly poor result. Furthermore, a blood pressure therapy can be adjusted or started or other risk factors, such as diabetes mellitus or high blood lipid values can be clarified.
In our practice we have a corresponding device and can therefore offer our patients this useful preventive service throughout. However, the statutory health insurance companies do not cover the costs, so that this is an individual health service.