Correlação da hemodinâmica e da mobilidade do tornozelo com o quadro clínico da doença venosa

Abstract

Introduction: Hemodynamic abnormalities and range of ankle motion reduction have been described in chronic venous disorders. Objective: The aim of this study was to correlate venous hemodynamics measured by air-plethysmography and range of ankle motion assessed by goniometry with clinical classes of “CEAP classification” based on clinical manifestation (C), etiologic factors (E), anatomic distribution of disease (A), and underlying pathophysiologic findings (P). Method: One hundred and forty-two white women were recruited and matched by age: group I = C0 e C1 (n= 24); group II = C2 (n= 30); group III = C3 (n= 27); group IV = C4 (n= 23); group V = C5 (n= 20); group VI = C6 (n= 18). Differences between groups were compared through analysis of variance (ANOVA), Bonferroni, Kruskal-Wallis and Dun tests, p-value = 5%. Results: The range of ankle motion was significantly reduced after C5. Venous filling index was significantly reduced after C2, ejection fraction and residual volume fraction after C4. Conclusion: The clinical severity of venous disease correlates with range of ankle motion reduction and hemodynamic deterioration measured by air-plethysmography.