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European Heart Journal 1993 14(10):1365-1368;
Copyright © 1993 by the European Society of Cardiology.
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© 1993 The Europen Society of Cardiology

Graduated compression stockings in the prevention of deep vein thrombosis in patients with acute myocardial infarction

A. KIERKEGAARD*, and L. NORGREN{dagger}

*Department of Medicine, Central Hospital, Lund University Halmstad, Sweden
{dagger}Department of Surgery, Lund University Lund, Sweden

Received 24 February 1993; revised 14 May 1993; .

Correspondence: A. Kierkegaard, Department of Medicine, Central Hospital, S-301 85 Halmstad, Sweden

Abstract

Venous volume (venous capacity) of the calf is low in patients with acute myocardial infarction, who also have a high risk of deep vein thrombosis (DVT). The effect of graduated compression stockings on the venous volume and on the incidence of DVT was therefore studied in 80 patients aged 70 years and above with acute myocardial infarction. Graduated compression stockings were randomly fitted to one leg, the other serving as a control, after which the venous volume was measured by strain gauge plethysmography. The incidence of DVT was measured by the 125I fibrinogen uptake test. Venous volume was significantly higher in legs treated with graduated compression stockings compared to control legs. DVT developed in eight control legs but not in any leg treated with graduated compression stockings (P = 0.003). DVT was also significantly more frequent in women compared to men and the majority of DVT developed in legs with very low venous volume values.

Key Words: Acute myocardial infarction • deep vein thrombosis • venous volume • compression stockings • strain gauge plethysmography • 125I fibrinogen uptake test


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