Screening for Peripheral Arterial Disease Using the Ankle-Brachial Index in Diabetic and Other High-Risk Patients

Paraskevas, Kosmas I.; Phillips, Mike J.; Shearman, C.P.

doi:10.1177/0003319715597090

Cited by 3 publications

(3 citation statements)

References 30 publications

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“…For this reason, measuring ABPI reduces the risk of applying compression to a limb with underlying arterial disease. ABPI is a useful measurement to help confirm the diagnosis of peripheral arterial disease1 (table 1) but it has limitations, and these need to be understood to enable its safe use 2…”

Section: What Is the Usefulness Of Abpi Measurement In Primary Care?mentioning

confidence: 99%

Ask the expert: assessment of peripheral vascular disease in primary care

Paraskevas¹,

Shearman

2023

BMJ

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Section: What Is the Usefulness Of Abpi Measurement In Primary Care?mentioning

confidence: 99%

Ask the expert: assessment of peripheral vascular disease in primary care

Paraskevas¹,

Shearman

2023

BMJ

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“…disease. [8,9] ABI has a sensitivity of >90% and a specificity of >95% in diagnosing 50% stenosis of the lower extremity arteries. [10,11]…”

Section: Original Articlementioning

confidence: 99%

Untitled

Bakshi¹

2018

AJP

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Aim: The main aim of this study is to determine peripheral artery disease (PAD) using ankle-brachial index (ABI) who is having the risk factors for developing PAD and also determine additional risk factors which are responsible for vascular risk leading to PAD in future and to assess the patients who are at high risk for developing complications such as stroke and coronary artery disease (CAD). Materials and Methods: A total number of 500 patients who met the study criteria were included in the study. The required data were collected by measuring ankle, brachial pressures for the patients and some data related to the patients were collected through patient's case sheets and medical records. The collected data were analyzed statistically. Results and Discussion: It was observed that smoking is the major contributing risk factor for PAD. Diabetes is the second most contributing risk factor for PAD, followed by CAD, obesity, hypertension, dyslipidemia, and alcohol. The risk for PAD was observed to be more in males compared to females. PAD patients have remained asymptomatic even at severe risk. Moreover, the majority of the patients are at moderate risk for PAD. The patients with age group of 51-60 years were at a higher risk for PAD and testing the people with ABI of age above 50 years having PAD risk factors might be beneficial. Conclusion: Finally, the use of ABI as a screening test in all primary health-care settings could be useful to detect the risk for PAD at an early stage and can prevent further complications.

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“…Several methods have been used to quantify the degree of hindlimb ischemia, including ankle brachial index (ABI), ultrasound Doppler, laser Doppler imaging (LDI), laser speckle contrast imaging (LSCI), computed tomography angiography (CTA), and magnetic resonance angiography (MRA). ABI is a simple and sensi-Quantitative evaluation of graded hindlimb ischemia based on pharmacokinetic modelling and hemodynamic analysis of indocyanine green tive method for the diagnosis of severely stenotic arteries but provides neither information about anatomy and function nor enough accuracy for the diagnosis of mild arterial stenosis (Li et al 2015, Hashimoto et al 2016, Paraskevas et al 2016, Sharma et al 2016. Most ultrasound Doppler methods either show low stability or overestimate the degree of stenosis (Arbeille et al 1999).…”

Section: Introductionmentioning

confidence: 99%