ANKLE-BRACHIAL INDEX

INTRODUCTION

ABI Sensitive &

spesific metric of
PAD (Peripheral
Arterial Disease) Predicting mortality
& adverse CV events
(esp. in every smoker
> 50 y.o diabetic
patients > 50, all
The systolic at patients > 70 y.o)
ankle is divided by
the systolic
pressure at the
arm

Measuring and Understanding the Ankle Brachial Index (ABI), Standford Medicine, 2017
Indication
• In the primary care setting, an ABI is useful in the following 2 settings:
• In a symptomatic patient, to diagnose PAD
• In an asymptomatic patient, to assess the vascular risk for PAD

Ankle-Brachial Index Measurement, Medscape Journal 2017

Equipment
• An appropriately sized blood pressure cuff for the upper and lower
extremities with a working sphygmomanometer
• A Doppler device for detecting flow
• Ultrasound transmission gel
• An examination table

Ankle-Brachial Index Measurement, Medscape Journal 2017

Patient Preparation
• The patient should lie on an examination table in a supine position.

Ankle-Brachial Index Measurement, Medscape Journal 2017

Technique of ABI
• Measuring the brachial pressure
• Measuring the ankle pressure
• Calculating the ABI
• Interpreting the ABI

Measuring and Understanding the Ankle Brachial Index (ABI), Standford Medicine, 2017
Measuring and Understanding the Ankle Brachial Index (ABI), Standford Medicine, 2017
Interpretation of ABI

Measuring and Understanding the Ankle Brachial Index (ABI), Standford Medicine, 2017