Document Detail


Ankle/Brachial index in the primary care setting.
MedLine Citation:
PMID:  15064843     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Peripheral arterial disease (PAD) is an underdiagnosed circulatory problem in the primary care setting. Individuals are at increased risk for cardiovascular disease; therefore, there is the need for a technique capable of early identification and detection of patients with PAD. The focus of this study was to compare the accuracy of a new operator-independent method of measuring ankle brachial index (ABI) with the traditional Doppler ultrasound method of determining ABI. In 246 limbs the authors compared ankle systolic pressures and ABI measured by a new automated oscillatory method called the ABIgram with those measured by standard Doppler ultrasound. In phase 1, the 2 methods for measuring ankle systolic pressure had a mean difference of 2 mm Hg with a standard deviation of 6.7 mm Hg. In phase 2 the mean difference was 3.1 mm Hg with a standard deviation of 5.1 mm Hg. Further, ABI as measured by the 2 methods fell within 1% and demonstrated a 5% error in reproducibility. These numbers pass the SP-10 standard for medical devices established by the FDA. The ABIgram module of the Vasocor Vascular Diagnostic Center offers primary care physicians the ability to rapidly obtain ABI measurements comparable to the standard technique. Further, the ABIgram may be operated by staff commonly found in the primary care setting.
Authors:
Jeffrey K Raines; Jon Farrar; Karlene Noicely; Jasmine Pena; Warren W Davis; Howard J Willens; Dennis D Wallace
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Vascular and endovascular surgery     Volume:  38     ISSN:  1538-5744     ISO Abbreviation:  Vasc Endovascular Surg     Publication Date:    2004 Mar-Apr
Date Detail:
Created Date:  2004-04-05     Completed Date:  2004-07-22     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  101136421     Medline TA:  Vasc Endovascular Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  131-6     Citation Subset:  IM    
Affiliation:
Department of Surgery, University of Miami School of Medicine, Miami, FL 33136, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Ankle / blood supply*
Blood Pressure Determination / methods*
Brachial Artery
Female
Humans
Male
Middle Aged
Peripheral Vascular Diseases / diagnosis*,  ultrasonography
Primary Health Care*
Systole
Ultrasonography, Doppler

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


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