Dr.Oday Zaki Al-Salami
M.B.ch.B., D.M.,Al-Shahid Dhari Al-Fayadh general hospital , Baghdad Russafa health directorate , Ministry of health and environment , Iraq.
The role of ankle brachial index in detecting peripheral arterial diseases
Authors
Abstract
Peripheral arterial disease (PAD) is a disorder characterized by decreased blood
flow to the limbs, due to an obstruction or narrowing of the vessels tributaries. The concept of
PAD has a broader meaning, including the impairment of the carotid arteries, vertebral, renal and
mesenteric, but not including aortic diseases.Most epidemiological studies have used ankle-
brachial index (ABI) as a diagnostic method for PAD. Aim of the study: To determine whether
ankle brachial pressure index is a valuable test to diagnose peripheral arterial disease.
Methodology: The study was conducted from (January- October )2021. The study setting
included 60 persons aged 40 years and above. The samples were selected using probability
sampling (systematic random selection). Each person asked about the presence of risk factors for
atherosclerosis and presence of peripheral arterial disease symptoms, then the brachial pressure
was measured using a sphygmomanometer and a stethoscope, while the ankle pressure was
measured bilaterally using a sphygmomanometer and pulse detection. Results: The results in the
present study revealed that 29 (48.3%) had normal ABI value, 5 (8.3%) had acceptable ABI
value, 8 (13.3%) had some arterial diseases, 13 (21.6%) had moderate arterial diseases, 3 (5%)
had severe arterial diseases, 2 (3.3%) had vessel hardening and 8 (13.3%) had bilateral leg
arterial diseases.