Ankle-Brachial Index Should Be Measured in Both the Posterior and the Anterior Tibial Arteries in Studies of Peripheral Arterial Disease

被引：7

作者：

Johansson, Karin ^{[2
]}

Behre, Carl Johan ^{[1
]}

Bergstrom, Goran ^{[1
,2
]}

Schmidt, Caroline ^{[1
]}

机构：

[1] Univ Gothenburg, Sahlgrenska Acad, Wallenberg Lab Cardiovasc Res, Dept Mol & Clin Med, S-41345 Gothenburg, Sweden

[2] Sahlgrens Univ Hosp, Dept Clin Physiol, Gothenburg, Sweden

来源：

ANGIOLOGY | 2010年 / 61卷 / 08期

基金：

英国医学研究理事会;

关键词：

ankle-brachial index; posterior tibial artery; anterior tibial artery; peripheral arterial disease; CARDIOVASCULAR EVENTS; LOWER-EXTREMITY; PRESSURE INDEX; PREVALENCE; MORTALITY; ASSOCIATION; INSULIN; MEN;

D O I：

10.1177/0003319710366126

中图分类号：

R6 [外科学];

学科分类号：

1002 ; 100210 ;

摘要：

Lower extremity peripheral artery disease (PAD) is a powerful predictor of cardiovascular events and mortality. The ankle-brachial index (ABI) is an objective and standard diagnostic method to diagnose PAD (an ABI <= 0.9 is considered pathological). The American Heart Association (AHA) and the American College of Cardiology (ACC) recommend using both the posterior and anterior tibial arteries when assessing ABI. We investigated whether there was a difference in the diagnosis of PAD if the ABI was measured in the posterior or the anterior tibial arteries. The results showed that among participants with ABI <= 0.9, between 30% and 40% would not get a PAD diagnosis if the ABI was measured in only 1 of the arteries. In conclusion, this study emphasizes the importance of measuring the ABI in both the posterior tibial and the anterior tibial arteries when diagnosing PAD.

引用

页码：780 / 783

页数：4

共 21 条

[1] Endovascular Treatment of Peripheral Vascular Disease
Allaqaband, Suhail
Kirvaitis, Romas
Jan, Fuad
Bajwa, Tanvir
[J]. CURRENT PROBLEMS IN CARDIOLOGY, 2009, 34 (09) : 359 - 476
[2] The importance of increasing public and physician awareness of peripheral arterial disease
Becker, GJ
McClenny, TE
Kovacs, ME
Raabe, RD
Katzen, BT
[J]. JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 2002, 13 (01) : 7 - 11
[3] Serum adiponectin in a population sample of 64-year-old women in relation to glucose tolerance, family history of diabetes, autoimmunity, insulin sensitivity, C-peptide, and inflammation
Behre, CJ
Brohall, G
Hulthe, J
Fagerberg, B
[J]. METABOLISM-CLINICAL AND EXPERIMENTAL, 2006, 55 (02): : 188 - 194
[4] Insulin, insulin propeptides and intima-media thickness in the carotid artery in 58-year-old clinically healthy men. The Atherosclerosis and Insulin Resistance study (AIR)
Bokemark, L
Wikstrand, J
Wedel, H
Fagerberg, B
[J]. DIABETIC MEDICINE, 2002, 19 (02) : 144 - 151
[5] THE PREVALENCE OF PERIPHERAL ARTERIAL-DISEASE IN A DEFINED POPULATION
CRIQUI, MH
FRONEK, A
BARRETTCONNOR, E
KLAUBER, MR
GABRIEL, S
GOODMAN, D
[J]. CIRCULATION, 1985, 71 (03) : 510 - 515
[6] Atherosclerotic vascular disease conference - Executive summary - Atherosclerotic vascular disease conference proceeding for healthcare professionals from a special writing group of the American Heart Association
Faxon, DP
Creager, MA
Smith, SC
Pasternak, RC
Olin, JW
Bettmann, MA
Criqui, MH
Milani, RV
Loscalzo, J
Kaufman, JA
Jones, DW
Pearce, WH
[J]. CIRCULATION, 2004, 109 (21) : 2595 - 2604
[7] Peripheral arterial disease: Morbidity and mortality implications
Golomb, Beatrice A.
Dang, Tram T.
Criqui, Michael H.
[J]. CIRCULATION, 2006, 114 (07) : 688 - 699
[8] Validation of a method for determination of the ankle-brachial index in the seated position
Gornik, Heather L.
Garcia, Bobby
Wolski, Kathy
Jones, David C.
Macdonald, Kate A.
Fronek, Arnost
[J]. JOURNAL OF VASCULAR SURGERY, 2008, 48 (05) : 1204 - 1210
[9] Peripheral arterial disease
Gornik, HL
Beckman, JA
[J]. CIRCULATION, 2005, 111 (13) : E169 - E172
[10] Hirsch AT, 2006, CIRCULATION, V113, pE463, DOI 10.1161/CIRCULATIONAHA.106.174526

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