Document Detail

Ankle-brachial index should be measured in both the posterior and the anterior tibial arteries in studies of peripheral arterial disease.
MedLine Citation:
PMID:  20395230     Owner:  NLM     Status:  MEDLINE    
Lower extremity peripheral artery disease (PAD) is a powerful predictor of cardiovascular events and mortality. The ankle-brachial index (ABI) is an objective and standard diagnostic method to diagnose PAD (an ABI ≤ 0.9 is considered pathological). The American Heart Association (AHA) and the American College of Cardiology (ACC) recommend using both the posterior and anterior tibial arteries when assessing ABI. We investigated whether there was a difference in the diagnosis of PAD if the ABI was measured in the posterior or the anterior tibial arteries. The results showed that among participants with ABI ≤0.9, between 30% and 40% would not get a PAD diagnosis if the ABI was measured in only 1 of the arteries. In conclusion, this study emphasizes the importance of measuring the ABI in both the posterior tibial and the anterior tibial arteries when diagnosing PAD.
Karin Johansson; Carl Johan Behre; Göran Bergström; Caroline Schmidt
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-04-14
Journal Detail:
Title:  Angiology     Volume:  61     ISSN:  1940-1574     ISO Abbreviation:  Angiology     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-10-15     Completed Date:  2010-11-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0203706     Medline TA:  Angiology     Country:  United States    
Other Details:
Languages:  eng     Pagination:  780-3     Citation Subset:  IM    
The Department of Clinical Physiology, Sahlgrenska University Hospital, Gothenburg, Sweden.
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MeSH Terms
Ankle Brachial Index*
Blood Pressure
Blood Pressure Determination / methods
Peripheral Vascular Diseases / diagnosis*
Tibial Arteries

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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