Journal «Angiology and Vascular Surgery» • 

1997 • VOLUME 3 • №1

THE USE OF THE TREADMILL TEST IN THE DIAGNOSTICS AND TREATMENT OF CHRONIC ISCHEMIA OF THE LOWER EXTREMITIES
(A REVIEW OF LITERATURE)

I.I. Zatevakhin, M.Sh. Tsitsiashvili, V.N. Zolkin, R.Yu. Yudin
Chair of Surgery of the Pediatric Faculty,
Russian State Medical University,
Moscow, Russia

This review presents an analysis of the reported data on using exercise tests in evaluation of the degree of chronic ischemia and the possibility of using the treadmill test in the treatment of patients suffering from atherosclerosis of the lower extremities. The main subjective criteria in the compensation and subcompensation stages are the onset time of claudication and the maximum walking distance determined in the process of the treadmill test. The oxygen transport data, the blood level of ischemic metabolites as well as arterial vasorelaxation and its restoration may serve as objective diagnostic criteria for estimation of lower extremity ischemia. The later criterion is most important/or diagnostics and is registered as appearance of the diastolic blood flow or decrease of the ankle brachial index during the standard treadmill exercise. The treadmill test allows the efficiency of surgical and nonsurgical treatment to be estimated. Treadmill may be used for everyday training therapy thereby helping increase the patients'tolerance to physical exercise.

P. 145

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