Understanding Segmental Doppler Pressure Testing 

You may need this test if you have peripheral artery disease (PAD). PAD occurs when the flow of blood through the arteries in your arms or legs is slowed because of a blockage. This test can find a blockage in those arteries. It can also see how bad the blockage is. 

PAD is the result of atherosclerosis. That’s the buildup of plaque in the arteries. Plaque is the buildup of fat, cholesterol, and other substances in the blood that can narrow the arteries. It can lead to heart problems, such as a heart attack. 

You usually have this test as an outpatient. That means you can go home afterward. During the test: 

• You lie down on an exam table.

• You will rest for 15 minutes to allow your blood pressure to stabilize. During this time, you may be asked about your health and any symptoms.

• A healthcare provider then wraps 3 to 4 blood pressure cuffs around your arm or leg. The cuffs are spaced evenly across your limb. On a leg, they are most often put around the thigh, the calf, right above the ankle, and across the top of the foot. On an arm, they are placed over the bicep, on the forearm, and on the wrist.

• The healthcare provider prepares the ultrasound. They put some gel on your arm or leg near certain arteries. The gel helps the ultrasound’s probe (transducer) work better.

• The healthcare provider pumps up and slowly deflates one of the cuffs. Then they move the probe over your skin to check blood flow at that spot. The provider repeats this step for all of the cuffs.

• You may feel some discomfort from the probe. But the test should not hurt. 

Blood pressure is measured in millimeters of mercury (mmHg). A 20-mmHg difference between two points on your leg can show where you may have a block in blood flow. In an arm, that difference is 10 mmHg between two points.