ArticleMicrocirculation (New York, N.Y. : 1994)2026
Plantar Foot Microvascular Reactivity and Oxygenation in Type 2 Diabetes and Peripheral Artery Disease: An Exploratory Study.
Article in Microcirculation (New York, N.Y. : 1994), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveMicrovascular dysfunction contributes to foot complications in type 2 diabetes (T2D) and peripheral artery disease (PAD), yet has been characterized primarily in non-plantar regions. We evaluated microvascular reactivity and oxygenation at ulcer-prone plantar sites and responses to combined heat therapy and intermittent pneumatic compression (HT + IPC).
methodsForty adults ≥ 50 years (Control n = 20, T2D n = 11, PAD with or without T2D n = 9) were studied. Plantar hallux CVC (laser Doppler flux/MAP) and forefoot StO
resultsAt the plantar hallux, the increase in %CVCmax from baseline to the initial peak was attenuated in PAD compared with controls and T2D (p < 0.01), whereas plateau responses were similar. At the forefoot, PAD showed faster deoxygenation during ischemia and slower reoxygenation during reactive hyperemia (p < 0.01). During HT + IPC, popliteal blood flow increased similarly across groups; however, plantar StO
conclusionsThese preliminary findings indicate impaired plantar microvascular function in a heterogeneous PAD cohort, most of whom also had T2D. Larger studies are needed to confirm these findings and to elucidate the underlying mechanisms.
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