A study of digital blood flow was carried out using a ''mercury-in-sil
astic'' strain gauge in 50 individuals. Forty heavy smokers (25 asympt
omatic chronic heavy smokers and 15 smokers with overt thromboangiitis
obliterans-TAO) were studied. Ten individuals who had never smoked se
rved as controls. Chronic heavy, long-term smoking causes significant
reduction in digital blood flow. A further reduction occurs in those w
ith overt symptoms of TAO. Monitoring of digital blood flow could prov
ide a good screening test for determining the status of peripheral blo
od flow in chronic smokers.