Role of Ankle Brachial Index to Predict Peripheral Arterial Disease, An Experience of NICVD, Bangladesh
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 11
Abstract
Objectives:Thepresence of peripheral arterial disease (PAD) is associated with higher cardiovascularmorbidity and mortality, regardless of gender or its clinical form of presentation (symptomatic orasymptomatic). The ankle brachial index (ABI) is a sensitive and cost-effective screening tool for PAD. ABI is valuable for screening of peripheral artery disease in patients at risk and for diagnosing the disease in patients who present with lower-extremity symptoms.Normal cut-off values for ABI are between 0.9 and 1.4. Therefore, ABI can be considered as a generalized atherosclerotic predictor, identifying patients at high risk for developing cardio or cerebrovascular events and should be incorporated into routine clinical practice. Material & Methods: 50 Cases having the history of pain and weakness in the lower limb and/or associated with blackening or ulceration of footwere selected purposively and were divided into two groups. Ankle brachial pressure and serum lipid profile of all patients was measured. Doppler study of the lower limbs of all patients were done. Result: Those patients having blackening or ulceration had high lipid level, doppler findings were positive for PAD and ABI was below 0.9 or above 1.4. Those without blackening or ulceration had comparatively lower lipid level, doppler negative and ABI was between 0.9-1.4. Conclusion: ABI is a simple, noninvasive, less expensive test, which can be routinely determined in all patients.In comparison to socio-economic condition of our population, if we can do ABI of suspected patients routinely, we can predict the presence of PAD. It will help in early diagnosis and treatment of patients, and by this, many limbs can be saved.
Authors and Affiliations
Shantonu Kumar Ghosh, Alpana Majumder
Keywords
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- EP ID EP238803
- DOI 10.9790/0853-1611066365
- Views 126
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