Do we need to reappraise our method of interpreting the ankle brachial pressure index?

Journal of Wound Care
D G Carser

Abstract

This prospective study aimed to investigate if there is a relationship between ankle brachial pressure index (ABPI) and brachial systolic pressure when measured using Doppler ultrasound. Sixty-two limbs (36 patients) in which arterial disease and diabetes mellitus could be excluded using published blood pressure and flow criteria were included in the study. All measurements were made with a Scimed PVL 50 (Bristol UK) using a revised version of the Whiston method and a one-minute treadmill walk. Statistical analysis was carried out using Pearson's product moment correlation and the t test. A relationship was found between the ABPI and brachial systolic pressure, with statistical analysis indicating that the ABPI was highest in hypotensive patients and lowest in hypertensive patients (r = -0.385, p < 0.01). This may suggest that the current practice of assigning one particular ABPI value as normal (1.00) is not reliable and that the way in which the index is interpreted needs to be reappraised.

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Citations

Oct 24, 2009·Vascular Health and Risk Management·Mo Al-QaisiSam Kaddoura
Sep 21, 2007·Journal of Clinical Nursing·Stuart MaleTricia Murphy-Black
Feb 4, 2010·Diabetic Medicine : a Journal of the British Diabetic Association·E B JudeN Tentolouris
Jun 21, 2005·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·M F CaruanaD J Adam
Jul 10, 2012·Journal of Diabetes Science and Technology·Stephanie C WuCharles A Andersen
Jan 19, 2013·Angiology·Fabio ManfrediniRoberto Manfredini
Jun 12, 2017·Journal of the European Academy of Dermatology and Venereology : JEADV·A AndriessenM Abel
Jul 3, 2003·Clinical Orthopaedics and Related Research·Bharat R Kelkar
Sep 11, 2003·Journal of Wound Care·K Vowden, P Vowden

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