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Related Concept Videos

Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation01:21

Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation

Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
Assessment of blood pressure in brachial artery(one-step method)01:15

Assessment of blood pressure in brachial artery(one-step method)

This procedural guide systematically measures blood pressure using an oscillometric digital sphygmomanometer, emphasizing accuracy, patient safety, and comfort.
Prepare for the Procedure:
Assessment of blood pressure in brachial artery(two-step method)01:23

Assessment of blood pressure in brachial artery(two-step method)

Measuring blood pressure is a fundamental skill in healthcare that aids in diagnosing and monitoring hypertension and other cardiovascular conditions. An aneroid sphygmomanometer, commonly used in clinical settings, offers a manual and precise method for blood pressure measurement. The technique for using this instrument involves specific steps that must be carefully executed to ensure accuracy. The following detailed description outlines a two-step technique for assessing blood pressure using...
Pre-Procedural Guidelines for Assessing Blood Pressure01:10

Pre-Procedural Guidelines for Assessing Blood Pressure

Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the patient.
Sites for measuring blood pressure01:21

Sites for measuring blood pressure

Blood pressure measurement is a fundamental clinical procedure, providing crucial data for assessing cardiovascular health. Among the various sites for this measurement, the brachial and popliteal arteries are predominantly utilized due to their accessibility and the reliability of their readings. This lesson delves into the anatomical significance, methodology, and considerations of measuring blood pressure at these locations.
The Brachial Artery: Primary Site for Blood Pressure Measurement
Assessment of the Cardiovascular System I: Subjective Data01:23

Assessment of the Cardiovascular System I: Subjective Data

A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
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Ultrasound Assessment of Endothelial-Dependent Flow-Mediated Vasodilation of the Brachial Artery in Clinical Research
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ASSESSMENT OF CARDIOVASCULAR DISEASE RISK USING ANKLE-BRACHIAL INDEX IN EMERGENCY PHYSICIANS WORKING 24-HOUR DUTIES:

W Ahmed1, A Elfaki2, A Alawad1

  • 11Department of Physiology, Faculty of Medicine, Al Neelain University, Sudan.

Georgian Medical News
|June 14, 2026
PubMed
Summary
This summary is machine-generated.

Emergency physicians, especially males working 24-hour shifts, show increased cardiovascular risk indicated by lower ankle-brachial index (ABI) values. Early screening and preventive measures are crucial for this high-risk group.

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Area of Science:

  • Cardiology
  • Occupational Health
  • Vascular Disease

Background:

  • Cardiovascular disease (CVD) poses a significant health risk.
  • The ankle-brachial index (ABI) is a non-invasive tool for assessing peripheral arterial disease and CVD risk.
  • Emergency physicians face demanding work schedules that may impact their health.

Purpose of the Study:

  • To evaluate the prevalence of cardiovascular risk among emergency physicians in Khartoum State.
  • To utilize the ankle-brachial index (ABI) as a screening tool for peripheral arterial disease in this occupational group.
  • To identify potential occupational factors contributing to cardiovascular risk in emergency physicians.

Main Methods:

  • A cross-sectional study was conducted involving 60 emergency physicians.
  • Systolic blood pressure was measured at brachial and ankle arteries using handheld Doppler.
  • Ankle-brachial index (ABI) was calculated and categorized as <0.90 (high risk), 0.91-0.99 (borderline), and ≥1.00 (normal).

Main Results:

  • 15% of physicians exhibited high CVD risk (ABI <0.90), and 36.7% had borderline ABI.
  • Male physicians showed significantly higher systolic blood pressure and lower ABI compared to females.
  • Physicians working 24-hour shifts presented ABI distributions indicative of increased cardiovascular risk.

Conclusions:

  • Emergency physicians, particularly males on 24-hour shifts, have lower ABI and elevated blood pressure, signaling heightened CVD risk.
  • Findings underscore the need for early screening and targeted preventive strategies for occupational health.
  • Implementing measures to mitigate cardiovascular risks associated with demanding work schedules is essential.