Plethysmography

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Plethysmography

This test measures the systolic blood pressure (maximum pressure exerted when the heart contracts) of a leg compared with that of an arm. The test is usually performed to rule out blockages in the arms or legs (usually legs).

See also vascular ultrasound.

Arterial plethysmography

This test may be done in the health care provider's office or in a hospital. You are placed in a partially propped-up position. Three blood pressure cuffs are wrapped snugly around the arm and leg. They are inflated to 65 mmHg (millimeters mercury), and a pulse volume recorder (plethysmograph) measures the pulse waves from each cuff.

Any differences between the pulse waves are noted. If there is a reduction in any of the waves compared with the others, it may indicate a blockage. When the test is complete, the blood pressure cuffs are removed.

Refrain from smoking at least 30 minutes before the test. Remove all clothing from the arm and legs.

Infants and children:

The preparation a parent can provide for this procedure depends on the child's age, previous experiences, and level of trust. For specific information regarding how you can prepare your child, see the following:

• infant test or procedure preparation (birth to 1 year)
• toddler test or procedure preparation (1 to 3 years)
• preschooler test or procedure preparation (3 to 6 years)
• schoolage test or procedure preparation (6 to 12 years)
• adolescent test or procedure preparation (12 to 18 years)

There should be minimal discomfort with this test. The pressure of the blood pressure cuff is all you should feel.

The test is done to help rule out arterial blockages in the arms or legs.

Review Date: 06/10/2005
Reviewed By: Joseph P. Hart, MD, Division of Vascular Surgery, Department of Surgery, Medical College of Wisconsin, Milwaukee, WI. Review provided by VeriMed Healthcare Network.