Ankle brachial index
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In medicine and the physical examination, the ankle brachial index is the "comparison of the blood pressure between the brachial artery and the posterior tibial artery. it is a predictor of peripheral arterial disease."
Role in health care
Diagnosis of peripheral arterial disease
|81 consecutive patients referred for arterograms of any region.
• 17% had peripheral arterial disease
|ABI by auscultation||Doppler ABI < 0.9||71%||91%|
|205 patients from 24 primary care physicians. Subjects has at least one major cardiovascular risk factor.
• 4% had peripheral arterial disease
|ABI by palpation||Doppler ABI < 0.9||88%||82%|
|ABI by Doppler ultrasonography||Angiography||95%||> 95%|
Prediction vascular disease and mortality
- Anonymous (2023), Ankle brachial index (English). Medical Subject Headings. U.S. National Library of Medicine.
- Khan NA, Rahim SA, Anand SS, Simel DL, Panju A (February 2006). "Does the clinical examination predict lower extremity peripheral arterial disease?". JAMA 295 (5): 536–46. DOI:10.1001/jama.295.5.536. PMID 16449619. Research Blogging.
- Migliacci R, Nasorri R, Ricciarini P, Gresele P (August 2008). "Ankle-brachial index measured by palpation for the diagnosis of peripheral arterial disease". Fam Pract 25 (4): 228–32. DOI:10.1093/fampra/cmn035. PMID 18567610. Research Blogging.
- Carmo GA, Mandil A, Nascimento BR, et al (February 2009). "Can we measure the ankle-brachial index using only a stethoscope? A pilot study". Fam Pract 26 (1): 22–6. DOI:10.1093/fampra/cmn086. PMID 19022870. Research Blogging.
- Fowkes FG, Murray GD, Butcher I, et al (July 2008). "Ankle brachial index combined with Framingham Risk Score to predict cardiovascular events and mortality: a meta-analysis". JAMA 300 (2): 197–208. DOI:10.1001/jama.300.2.197. PMID 18612117. Research Blogging.