Abstract
The aim of study was to determine the sensitivity and specificity of ankle brachial index in diagnosis of peripheral arterial disease in diabetics with coronary artery disease at a teaching hospital in North India. Materials and methods: All diabetic patients admitted with coronary artery disease who undergo coronary angiography irrespective of their presentation (stable angina, unstable angina, NSTEMI, STEMI) were included in the study. Systolic blood pressures of both arms at the brachial arteries and both lower limbs at the dorsalis pedis arteries were taken with the help of sphygmomanometer and a hand held doppler probe and recorded in the proforma. The higher of the two systolic pressures recorded at the ankle was divided by the highest of the systolic pressures recorded in the arms to get the ankle brachial index. The results of ABI were compared with peripheral angiography.
Highlights
Introduction suffer from insensitvityA more accurate estimation of the prevalnce of PAD in diabetes should rely upon a Measurement of ankle brachial index (ABI) is useful for detecting peripheral arterial disease (PAD) and identifying persons at risk for future atherothrombotic events
Regarding PAD in general population the assesment and Materials and methods: All diabetic patients admitted with management of PAD in those with diabetes is less clear coronary artery disease who undergo coronary angiography and posess some special issues
The higher of the two systolic diabetes has been difficult to determine as most pressures recorded at the ankle was divided by the highest of patients are assymtomatic, many do not report their the systolic pressures recorded in the arms to get the ankle brachial index
Summary
Introduction suffer from insensitvityA more accurate estimation of the prevalnce of PAD in diabetes should rely upon a Measurement of ankle brachial index (ABI) is useful for detecting peripheral arterial disease (PAD) and identifying persons at risk for future atherothrombotic events. 25– 30% of patients with critical limb ischaemia undergo validated and reproducible test Such a test is the ankle brachial index(ABI) which involves measuring the systolic pressure in the ankles (dorsalis pedis and posterior tibial arteries) and arms (brachial arteies) using a hand held doppler and calculating the ratio. ABI serves as a marker of cardiovascular risk.[5] Angiography is the gold standard for vascular imaging in PAD. It is Global Journal of Medical Research ( ID) Volume XX Issue IV Version I Year 2020 patient in whom a revascularisation procedure is
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