Determination of the Ankle-brachial Index in Type 2 Diabetic Patients with an Automatic Oscillometric Device
European Journal of Clinical and Biomedical Sciences
Volume 5, Issue 1, February 2019, Pages: 5-8
Received: Feb. 19, 2019;
Accepted: Mar. 30, 2019;
Published: Apr. 18, 2019
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Aurelio Sessa, Italian College of General Practitioners and Primary Care, Florence, Italy
Italo Paolini, Italian College of General Practitioners and Primary Care, Florence, Italy
Carlo Fedele Marulli, Italian College of General Practitioners and Primary Care, Florence, Italy
Antonino Di Guardo, Italian College of General Practitioners and Primary Care, Florence, Italy
Gerardo Medea, Italian College of General Practitioners and Primary Care, Florence, Italy
An altered ankle-brachial index (ABI) is an indicator of peripheral arterial disease (PAD). Usually the measurement of the systolic pressure in both brachial arteries and pedal pulses is performed with a continuous-wave Doppler ultrasound. Recently an oscillometric automated device is available to measure ABI. This instrument is a simple to use, fast and accurate method suitable for common use in clinical practice. 701 patients with type 2 diabetes who attended consecutively in office were studied by 24 General Practitioners (GPs). 74 patients had an abnormal ABI (≤ 0.90), 240 a borderline ABI (0-90-0.99) and 7 patients ABI ≥ 1.40. All these patients received a Doppler ultrasound examination and 117 had an asymptomatic PAD. GPs reported that the device was easy to use and that it can be an useful instrument of early diagnosis of PAD in daily practice.
Carlo Fedele Marulli,
Antonino Di Guardo,
Determination of the Ankle-brachial Index in Type 2 Diabetic Patients with an Automatic Oscillometric Device, European Journal of Clinical and Biomedical Sciences.
Vol. 5, No. 1,
2019, pp. 5-8.
Hirsch AT, Criqui MT, Treat-Jacobson D, Regensteiner JG, Creager MA, Olin JW, Krook SH, Hunninghake DB, Comerota AJ, Walsh ME, McDermott MM, Hiatt WR. Peripheral arterial disease detection, awareness and treatment in primary care. JAMA 2001; 286:1317-24.
Fowkes FG, Rudan D, Rudan I, Aboyans V, Denenberg JO, McDermott MM, Norman PE, Sampson UK, Williams LJ, Mensah GA, Criqui MH. Comparison of global extimates of prevalence and risk factors for peripheral artery disease in 2000 and 2010: a systematic review and analysis. Lancet 2013; 382: 1329-40.
www.siditalia.it Standard Italiani per la cura del diabete mellito 2018.
American Diabetes Association. Standard of medical care in diabetes 2018. Diabetes Care 2018; 41(S1):114-31.
Doobay AV, Anand SS. Sensitivity and specificity of the ankle-brachial index to predict future cardiovascular outcomes: a systematic review. Artheriosler Thromb Vasc Biol 2005; 25:1463-9.
Rosenbaum D, Rodriguez-Carranza S, Laroche P, Bruckert E, Giral P, Gired X. Accuracy of ankle-brachial index using the SVCL, an arm and ankle automated device with synchronized cuffs, in a population with increased cardiovascular risk. Vasc Health Risk Manag 2012; 9: 239-246.
Bendermarcher BLW, Teijink JAW, Willigendael EM, Bartelink ML, Peters RJG, Langenberg M, Buller HR, Prins MH. Applicability of the ankle-brachial index measurement as screening device for high cardiovascular risk: an observational study. BMC Cardiovasc Disord 2012; 12: 59.
Davies JH, Kenkre J, Williams EM. Current utility of the ankle-brachial index (ABI) in general practice: implications for its use in cardiovascular disease screening. BMC Fam Pract 2014; 15: 69-79.
Beckman JA, Higgins CO, Gerhard- Herman M. Automated oscillometric determination of the ankle-brachial index provides accuracy necessary for office practice. Hypertension 2006; 47:35-8.
Ramanathan A, Conaghan PJ, Jenkinson AD, Bishop CR. Comparison of ankle-brachial pressure index measurements using an automated oscillometric device with the standard Doppler ultrasound technique. ANZ J Surg 2003; 73:105-8.
Raines JK, Farrar J, Noicely K, Pena J, Davis WW, Willens HJ, Wallace DD. Ankle/ brachial index in the primary care setting. Vasc Endovascular Surg 2004; 38:131-6.
Nativel M, Potier L, Alexandre L, Baillet-Blando L, Ducasse E, Velho G, Marre M, Roussel R, Rigalleau V, Mohammedi K. Lower extremity arterial disease in patients with diabetes: a contemporary narrative review, Cardiovasc Diabetol 2018; 17: 138-151.
Mohammedi K, Woodward M, Hirakawa Y, Zoungas S, Williams B, Lisheng L, Rodgers A, Mancia G, Neal B, Harrap S, Marre M, Chalmers J, ADVANCE Collaborative Group. Microvascular and macrovascular disease and risk for major peripheral arterial disease in patients with type 2 diabetes. Diabetes Care 2016; 39: 1796-803.
Mohammedi K Woodward M, Zoungas S, Li Q, Harrap S, Patel A, Marre M, Chalmers J. Absence of peripheral pulses and risk of major vascular outcomes in patients with type 2 diabetes. Diabetes Care 2016; 39: 2270-7.
Curry SJ, Krist AH, Owens DK, Barry MJ, Caughey AB, Davidson KW, Doubeni CA, Epling JW Jr, Kemper AR, Kubik M, Landfefeld CS, Mangione CM, Silverstein M, Simon MA, Tseng CW, Wong JB. Screening for peripheral artery disease and cardiovascular disease risk assessment with the ankle-brachial index: US Preventive Services Task Force Recommendation statement. JAMA 2018; 320:177-83.
Pasternak RC, Criqui MH, Benjamin EJ, Fowkes FG, Isselbacher EM, McCullough PA, Wolf PA, Zheng ZJ; American Heart Association.. Writing Group I: epidemiology. Circulation 2004; 109:2605-12.