The ABI is a simple, reliable test to detect peripheral arterial disease or PAD. Simply put, PAD is a narrowing of the blood vessels outside of your heart. PAD usually affects your legs but can affect other areas of the body too. Your doctor will discuss this with you in more detail if they suspect or confirm that you have PAD. Patients who complain of leg discomfort or numbness in the leg may be candidates.
One way to detect PAD is to have an ABI test. It is important to know if you have PAD, as patients with it may have a higher risk of heart disease or stroke.
ABI is quick (approximately 30 minutes), non-invasive and provides instant results.
There is no special preparation for the test. You may eat, drink and take your normal medications and supplements on the day of test.
First, you will be asked to remove your socks or stockings. A specially-trained medical technician will then place a blood pressure cuff on your leg and take measurements. At the same time, he or she will listen with a small probe to the artery in your leg. The probe is connected to a small ultrasound machine.
This will be done on each leg and then the blood pressure in your arms will be measured using the same cuff.
When the test is over, the technician will provide the results of the test to your physician who will discuss the findings and any treatment with you. Your doctor may refer you for further testing or prescribe medications based on the results of the ABI.
Patients who have a DVT (deep vein thrombosis) are not good candidates for an ABI test.
Holter and event monitors are medical devices that record the heart’s electrical activity. Doctors most often use these monitors to diagnose arrhythmias. Arrhythmias are problems with the speed or rhythm of the heartbeat. During an arrhythmia, the heart can beat too fast, too slow, or with an irregular rhythm.
Holter and event monitors also are used to detect silent myocardial ischemia. In this condition, not enough oxygen-rich blood reaches the heart muscle. “Silent” means that no symptoms occur.
These monitors also can check whether treatments for arrhythmia and silent myocardial ischemia are working.
Holter and event monitors are small, portable devices. You can wear one while you do your normal daily activities. This allows the monitor to record your heart for a longer time than an EKG.
Some people have heart rhythm problems that only occur during certain activities, such as sleep or physical exertion. Using a Holter or event monitor increases the chance of recording these problems.
Although similar, Holter and event monitors aren’t the same. A Holter monitor records your heart’s electrical activity the entire time you’re wearing it. An event monitor only records your heart’s electrical activity at certain times while you’re wearing it.
Vaccines provide an important defense against preventable diseases. At CareMedica we vaccinate against most vaccine-preventable diseases. Some immunizations are vital for most adults, especially senior citizens. Others are appropriate for only certain people. We follow the recommended adult immunization schedule revised annually by the Centers for Disease Control and Prevention (CDC).
Some adults incorrectly assume that the vaccines they received as children will protect them for the rest of their lives. Generally this is true, except that:
We have events at annual influenza clinics, usually held on Saturdays in the months of September-November.
Spirometry is the classic pulmonary function test, which measures the volume of air inspired or expired as a function of time. It can monitor quiet breathing and thereby measure tidal volume, and also trace deep inspirations and expirations to give information about vital capacity.
Prothrombin time (PT) is a blood test that measures how long it takes blood to clot. A prothrombin time test can be used to check for bleeding problems. PT is also used to check whether medicine to prevent blood clots is working.
A PT test may also be called an INR test. INR (international normalized ratio) stands for a way of standardizing the results of prothrombin time tests, no matter the testing method.
Blood clotting factors are needed for blood to clot (coagulation). Prothrombin, or factor II, is one of the clotting factors made by the liver. Vitamin K is needed to make prothrombin and other clotting factors. Prothrombin time is an important test because it checks to see if five different blood clotting factors (factors I, II, V, VII, and X) are present. The prothrombin time is made longer by:
An abnormal prothrombin time is often caused by liver disease or injury or by treatment with blood thinners.
Another blood clotting test, called partial thromboplastin time (PTT), measures other clotting factors. Partial thromboplastin time and prothrombin time are often done at the same time to check for bleeding problems or the chance for too much bleeding in surgery.
Prothrombin time (PT) is measured to:
Many medicines can change the results of this test. Be sure to tell your doctor about all the nonprescription and prescription medicines you take, as well as any supplements or herbal remedies you use.
The health professional drawing blood will:
There is very little chance of a problem from having blood sample taken from a vein.
Reasons you may not be able to have the test or why the results may not be helpful include: