ANKLE BRACHIAL PRESSURE INDEX, VALUE AND LIMITATIONS CONSIDERATIONS ABOUT ITS APPLICABILITY FOR DIABETIC INDIVIDUALS
Journal Title: Romanian Journal of Diabetes Nutrition and Metabolic Diseases - Year 2011, Vol 18, Issue 2
Abstract
Non-invasive ultrasound investigations are frequently used as a screening maneuver for peripheral vascular disease. The ankle to brachial pressure index (ABPI) it is a noninvasive hand-held Doppler test that is able to perform a peripheral vascular interrogation. It is thaught to be reasonable accurate for the diagnosis of hemodynamical significant arterial disease, meaning that the advanced wall injuries are already set. When performing the ABPI investigation the lack of methodological standardization is challanging even in the nondiabetic population. In this review we highlight the ankle to brachial pressure index (ABPI) effectiveness and limitations comparing non-diabetic versus diabetic patients with peripheral arterial disease, trying a (re)consideration of its diagnostic accuracy. Almost 60% of peripheral arterial diseased patients are free of symptoms, probably because of collaterals network. The vascular disease is particularly high among diabetic individuals and suggests that multiple arterial beds are simultaneously affected. As we know, there is a general consensus about regular vascular assessment in diabetic population. The ABPI as a screening tool for lower limb arterial disease is less sensitive in diabetic individuals, mainly when neuropathy and vascular calcification exist. ABPI interrogation should therefore always be cautiously considered. Hand held Doppler assessment and ABPI results should be integrated in the clinical context of the patients. Either clinically symptomatic or silent (because of collaterals efficiency and neuropathy), lower limb arterial disease needs to be further and detailed interrogated. Color duplex investigation (CDI) seems to be a highly sensitive and accurate method of assessing arterial vasculopathy mainly in diabetics.
Authors and Affiliations
Rodica Perciun
Keywords
Related Articles
- EP ID EP85553
- DOI -
- Views 126
- Downloads 0
METABOLIC SYNDROME IN PATIENTS WITH T1DM OLDER THAN 10 YEARS
Metabolic Syndrome (MS) is a clinical entity recently individualized, a clinical concept with multiple definitions that expresses a complex disorder of the body′s energy metabolism, with insulin resistance and compensato...
DIABETES IN PREGNANCY: PREPREGNANCY CARE FOR TYPE 1 AND TYPE 2 DIABETES
Preconception counseling is the education of, and the discussion with, women of reproductive age about pregnancy and contraception. It is essential component of every consultation in primary and/or specialist care. Preco...
PREDICTORS OF CHANGES IN PHYSICAL PROPERTIES OF SKIN IN PATIENTS WITH DIABETES MELLITUS
Introduction: The skin, the largest human organ, is often affected by diabetes mellitus (DM). We know that DM affects the hydration of stratum corneum (SC), the sebum content of the skin and to some extent, the bar...
THERAPY WITH GLP-1 AGONISTS AND DIPEPTIDYL-PEPTIDASE IV INHIBITORS IN TYPE 2 DIABETES MELLITUS
Since type 2 diabetes is increasing and most patients do not reach their therapeutic goals, novel treatment options are needed. The novel therapeutic options for type 2 diabetes mellitus (Type 2 DM); respectively those b...
SODIUM-GLUCOSE TRANSPORTER 2 INHIBITION – A POTENTIAL OPTION FOR THE TREATMENT OF TYPE 2 DIABETES MELLITUS
Glucose homeostasis is maintained by the balanced actions of glucose absorption, gluconeogenesis, glycogenolysis, glucose consumption, glucose excretion and glucose reabsorption. The human kidney is involved in glucose r...