©2012 BioMedix™ | Saint Paul, MN 55101 | www.BioMedix.com Tel (651) 762-4010 | Toll Free (877) 854-0014 | info@BioMedix.comPADnet is a trademark of BioMedix | ML-025 Rev B Jan 2012

Are you at risk?

Groups at risk for P.A.D.

nMen and women ages 65 years or older1

n Patients 50 years or older with a history of diabetes, high blood pressure, high cholesterol or smoking

Signs and symptoms

n Pain in the legs brought on by walkingand relieved with rest

n Pain in the legs at rest due to poor circulation

n A poorly healing wound on lowerextremity

n Injury to lower limb or foot involving blood vessels

n Discoloration of toes and feet

Source: PAD Coalition. (2011). About P.A.D.: what is P.A.D.Retrieved from: http://www.padcoalition.org/about-pad/what-is-pad/

1. Society for Cardiovascular Angiography and Interventions, et al. (2011). 2011ACCF/AHA focused update of the guideline for the management of patients withperipheral artery disease (updating the 2005 guideline)... J Am Coll Cardiol 58(19),5-6. doi:10.1016/j.jacc.2011.08.023.

P.A.D. ExamA study of your arteries

My Appointment:

Date:

Time:

Place:

Phone:

Notes:

PADnet™ is Approved

P . A . D . e x A m : A s t u D y o f y o u r A r t e r i e s

Before your test

Getting ready for this test requires littleeffort. You will be asked to remove clothing that covers your arms and legs,keeping your undergarments on. Youmay be asked to remove your shoes andsocks as well. A gown may be provided,or you may bring shorts to wear. This testusually takes 15 to 20 minutes. Be sure toallow extra time to check in.

n Do not smoke or use tobacco 30minutes prior to your PADnet exam.Smoking constricts the peripheralarteries and can interfere with theexam.

n If you think you may not be able totolerate lying flat on the exam tablefor the test, please share this withyour provider.

What is P.A.D.?

Peripheral Artery Disease (P.A.D.) occurswhen there is a buildup of cholesteroland plaque in the arteries of the lowerextremities, causing decreased bloodflow to the legs and feet.

What is PADnet™?

A PADnet Arterial test can provide earlydetection of P.A.D. when treatmentoptions are broadest (incorporatinglifestyle changes as well as non-invasiveand invasive therapeutic options).

The PADnet detects blockages in arteries and the quality of blood flowusing Pulse Volume Recordings (PVRs) and segmental blood pressure measurements. Given appropriate signsand symptoms, a PADnet Post-Exercisetest may be necessary.

Plaque reduces blood flow

Artery affected by P.A.D.

During your test

You will lie down on the exam table.Pressure cuffs will be wrapped snuglyaround your arms, above knees, calvesand ankles. The technician will inflate thecuffs, and sensors in the machine willrecord the pulse volume waveforms thatcorrespond to each beat of your heart.

Blood pressures will be recorded at yourarms and ankles. The Ankle-BrachialIndex (ABI) is determined by the ratiobetween these pressures. You may bediagnosed with P.A.D. if your ankle pressure is 99% or lower than your armpressure. With severe narrowing, the ABImay be less than 50%.

You may be asked to exercise until symptoms are induced. After exercise,you will lie down on the exam table andrepeat the arm and ankle tests.

If the ABI and/or waveforms are abnormal, your doctor may recommendadditional diagnostic tests.

After your test

You may return to your normal routineright after the test. Your doctor will letyou know when the results are ready.