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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


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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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