Ankle-brachial index screening for peripheral artery disease in asymptomatic patients between 50 and 70 years of age

The Journal of International Medical Research
Andrej Kravos, K Bubnic-Sotosek

Abstract

Asymptomatic peripheral arterial disease (PAD) can be easily identified using the ankle-brachial index (ABI). This study was designed to investigate the benefits of performing ABI in patients aged 50 - 70 years. A random sample of 107 patients was chosen and data on gender, age, risk factors and laboratory tests were collected and the ABI measured. Twenty (19%) patients were found to have PAD. Smoking, high total cholesterol, high triglycerides and diabetes mellitus were shown to be associated with a low ABI and the presence of PAD. Age, diabetes and smoking were identified as the strongest predictors of PAD. Having more risk factors for PAD also predicted a lower ABI. These results suggest that measuring ABI is not necessary in patients aged 50 - 70 years if they only have one risk factor, with the exception of patients with diabetes and those who smoke. In contrast, measuring ABI seems to be useful for patients with multiple risk factors for PAD, although additional studies are required.

References

Feb 6, 1992·The New England Journal of Medicine·M H CriquiD Browner
Jan 1, 1985·Journal of the American Geriatrics Society·W B Kannel, D L McGee
May 1, 1970·Circulation·W B KannelD Shurtleff
Dec 24, 1997·Journal of the American Geriatrics Society·A B NewmanL H Kuller
Mar 4, 1998·Arteriosclerosis, Thrombosis, and Vascular Biology·W T MeijerD E Grobbee
Nov 11, 1998·Journal of the American Geriatrics Society·M M McDermottP Greenland
Feb 25, 1999·Archives of Internal Medicine·M M McDermottP Greenland
Jun 29, 1999·The Journal of Laboratory and Clinical Medicine·M M McDermott
May 11, 2000·Journal of Vascular Surgery·R B McLaffertyD S Sumner
Sep 19, 2001·JAMA : the Journal of the American Medical Association·A T HirschW R Hiatt
Oct 29, 2003·Archives of Internal Medicine·Emile R Mohler
Mar 15, 2006·Archives of Internal Medicine·Harm H H FeringaDon Poldermans
Apr 20, 2006·Atherosclerosis·C L HealdUNKNOWN Ankle Brachial Index Collaboration
Sep 9, 2006·Vascular and Endovascular Surgery·Terry W Rice, Alan B Lumsden
Mar 16, 2007·European Journal of Clinical Investigation·A Blinc, P Poredos
Apr 23, 2008·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Hsu-Ko Kuo, Yau-Hua Yu
Jul 10, 2008·JAMA : the Journal of the American Medical Association·UNKNOWN Ankle Brachial Index CollaborationM M McDermott

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Citations

Mar 21, 2012·Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society·UNKNOWN WOCN Clinical Practice Wound Subcommittee, 2005
Apr 26, 2014·Diabetic Foot & Ankle·Aiping WangKechun Jiang
May 22, 2010·Journal of Cardiovascular Computed Tomography·Thanongchai SiriapisithChumpol Wongwanit
Feb 28, 2015·Journal of Vascular Surgery·Fares AlahdabMohammad Hassan Murad
Aug 23, 2011·The International Journal of Lower Extremity Wounds·Ezio Faglia
Apr 9, 2014·The Cochrane Database of Systematic Reviews·Alina Andras, Bart Ferket
Jan 1, 2016·Vascular·Marko NovakovicHelena Lenasi

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