Does body height affect the severity of chronic venous disease in lower extremities?

Czech version

Authors: Jiří Spáčil
Authors‘ workplace: Cévní ordinace Praha 2, vedoucí lékař MUDr. Jiří Spáčil, CSc.
Published in: Vnitř Lék 2015; 61(3): 202-206
Category: Original Contributions

Overview

Introduction:
The effect of obesity on chronic venous disease has been known. The effect of body height has not been studied until now, although venous pressure is clearly influenced by hydrostatic pressure in the vertical position.

Methods:
We have examined 1 026 lower extremities in 124 men and 392 women with suspected chronic venous disease. Their clinical condition was evaluated using CEAP classification. Duplex sonography was used to exclude deep venous occlusion and to evaluate any present reflux. Venous functions were evaluated based on venous pump performance during exercise and according to venous refilling time.

Results:
We confirmed the known, statistically highly significant relationship between age and weight, and severity of clinical condition and presence of reflux. We provided evidence of significant relationships between the clinical condition and plethysmographic parameters. We did not demonstrate a statistically significant relationship between body weight and clinical condition, venous refilling time after exercise and presence of reflux, and only a weak relationship with respect to the performance of venous muscle pump in the right lower extremities.

Conclusion:
We did not demonstrate an effect of body height on the severity of chronic venous disease.

Key words:
body height – duplex sonography – chronic venous disease – plethysmography

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