Review article

ANKLE-BRACHIAL PRESSURE INDEX AS A PREDICTOR OF FUTURE CARDIOVASCULAR OUTCOMES

IVA TOPALUŠIĆ ; Department of Clinical Immunology, Rheumatology and Pulmonology, Sveti Duh University Hospital, School of Medicine, University of Zagreb, Zagreb, Croatia
INA VALPOTIĆ ; Department of Clinical Immunology, Rheumatology and Pulmonology, Sveti Duh University Hospital, School of Medicine, University of Zagreb, Zagreb, Croatia
ASJA STIPIĆ MARKOVIĆ ; Department of Clinical Immunology, Rheumatology and Pulmonology, Sveti Duh University Hospital, School of Medicine, University of Zagreb, Zagreb, Croatia

Abstract

Peripheral arterial occlusive disease is very common in the general population and it is mostly of atherosclerotic origin. About 50%-75% of patients are asymptomatic. Many studies have shown the ankle-brachial pressure index (ABPI) to be a simple and reliable test with high sensitivity (90%) and specificity (98%) in the diagnosis of hemodynamically relevant stenosis of an arterial segment and also in detection of asymptomatic patients. The values of ABPI <0.90 suggest widespread atherosclerosis, while the ABPI >1.40 is associated with arterial calcification and wall stiffening. This test is highly specific (92.7%) in predicting future cardiovascular and cerebrovascular risk and could provide a tool for more focused prevention strategies.

Keywords

peripheral arterial occlusive disease; ankle-brachial pressure index; early diagnosis; prevention

Hrčak ID:

104100

URI

https://hrcak.srce.hr/104100

Publication date:

20.6.2013.

Article data in other languages: croatian

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