Digital pulse volume recording: an essential test for the assessment of arteritis in diabetic patients

J Med Liban. 1997;45(2):73-7.


The high incidence of medial calcification in the distal arteries of lower extremities in diabetic patients is responsible for most of the errors made in measuring ankle-pressure index. Because digital arteries are rarely calcified, digital pulse volume recording has been proposed as a specific and complementary test. Between March 1993 and March 1996, this test was performed in addition to ankle-pressure index in 66 diabetic patients. The ankle-arm index was overestimated and erroneous in 89.4% of cases. Digital arteries were calcified in 74% of cases and diabetic neuropathy present in 53% of cases. Assessment of the severity of arteritis by digital pulse volume recording (category 1 to 5) has led to better prevention and treatment. It is an essential test for the assessment of arteritis in diabetics, but also for the prediction of success of a surgical procedure: distal amputation, lumbar sympathectomy and arterial reconstruction.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Arteritis / diagnosis*
  • Arteritis / etiology
  • Bias
  • Calcinosis / diagnosis*
  • Calcinosis / etiology
  • Decision Trees
  • Diabetic Angiopathies / complications*
  • Diabetic Neuropathies / complications*
  • Female
  • Fingers / blood supply*
  • Humans
  • Male
  • Middle Aged
  • Plethysmography / standards*
  • Reproducibility of Results
  • Severity of Illness Index