Template:ABI: Difference between revisions

 
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===Ankle-brachial index (ABI)===
===Ankle-brachial index (ABI)===
[[File:Pad abi.jpg|thumb|Ankle-Brachial Index performance.]]
[[File:Pad abi.jpg|thumb|Ankle-Brachial Index performance.]]
*How to measure:
How to measure:
*#Position patient supine
#Position patient supine
*#Measure SBP from both brachial arteries using cuff and handheld Doppler over the AC fossa
#Measure SBP from both brachial arteries using cuff and handheld Doppler over the AC fossa
*#Measure SBP from both DP and PT arteries using cuff placed just proximal to the malleoli with Doppler over artery (5-8% of normal patients have absent DP pulse)
#Measure SBP from both DP and PT arteries using cuff placed just proximal to the malleoli with Doppler over artery (5-8% of normal patients have absent DP pulse)
*#Calculate ABI on each leg by taking the highest ankle SBP (between DP and PT) on that leg divided by the highest brachial SBP and record to 2 decimal places
#Calculate ABI on each leg by taking the highest ankle SBP (between DP and PT) on that leg divided by the highest brachial SBP and record to 2 decimal places


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Latest revision as of 20:11, 4 February 2021

Ankle-brachial index (ABI)

Ankle-Brachial Index performance.

How to measure:

  1. Position patient supine
  2. Measure SBP from both brachial arteries using cuff and handheld Doppler over the AC fossa
  3. Measure SBP from both DP and PT arteries using cuff placed just proximal to the malleoli with Doppler over artery (5-8% of normal patients have absent DP pulse)
  4. Calculate ABI on each leg by taking the highest ankle SBP (between DP and PT) on that leg divided by the highest brachial SBP and record to 2 decimal places
ABI Meaning
<0.40 Severe occlusion
0.40–0.69 Moderate occlusion
0.70–0.90 Mild occlusion
0.91–1.30 Normal
>1.30 Poorly compressible/calcified vessels