Comparison of different methods of ABI acquisition for
detection of peripheral artery disease in diabetic patients

J 2019

Comparison of different methods of ABI acquisition for detection of peripheral artery disease in diabetic patients

HOMZA, Miroslav, Ondrej MACHACZKA, Martin PORZER, Milan KOZÁK, Jiri PLASEK et. al.

Základní údaje

Originální název

Comparison of different methods of ABI acquisition for detection of peripheral artery disease in diabetic patients

Autoři

HOMZA, Miroslav (203 Česká republika), Ondrej MACHACZKA (203 Česká republika), Martin PORZER (203 Česká republika), Milan KOZÁK (203 Česká republika, domácí), Jiri PLASEK (203 Česká republika) a David SIPULA (203 Česká republika)

Vydání

Biomedical papers, Olomouc, Palacky University, 2019, 1213-8118

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30201 Cardiac and Cardiovascular systems

Stát vydavatele

Česká republika

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Impakt faktor

Impact factor: 1.000

Kód RIV

RIV/00216224:14110/19:00108957

Organizační jednotka

Lékařská fakulta

DOI

http://dx.doi.org/10.5507/bp.2018.046

UT WoS

000489991000006

Klíčová slova anglicky

ankle brachial index; diabetes; oscillometric measurement; dopplerometric measurement; duplex ultrasonography

Štítky

14110211, rivok

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 17. 12. 2019 07:54, Mgr. Tereza Miškechová

Anotace

V originále

Background: Ankle brachial index (ABI) is the principal screening method for peripheral arterial disease (PAD). In this study, we compare various types of Doppler-derived and oscillometric ABIs with results obtained through duplex ultrasonography. Methods: 62 patients were enrolled in the study. For each limb, blood pressures for both ankle arteries and the arm were measured using Doppler and an automated oscillometric device. Duplex ultrasound was performed for all limbs and occlusions >50% were considered PAD-positive. ABI was calculated using both higher (HABP) and lower (LABP) arterial blood pressure on the individual limbs and the ability to predict duplex-detected stenoses was evaluated. Results: LABP calculation provided results superior to the guideline-recommended HABP. Considering patients with ABI >1.4 or measurement failure as PAD-positive further enhanced the test parameters. The higher ABI cut-off of 1.0 resulted in somewhat better sensitivities (max 92%) and negative predictive values (max 87%) at the expense of a substantial increase in the number of false positives. Oscillometric method yielded poor sensitivities but very good specificities (max 94%) and positive predictive values (max 90%). Conclusions: Doppler-based LABP provides better results than the guideline-recommended HABP in diabetic patients, nevertheless even this method is not perfect. Increasing the cut-off value to 1.0 in these patients does not bring a substantial improvement of the test performance. Patients with high ABI should be automatically considered PAD-positive and referred for further investigation using imaging techniques.

Citovat

HOMZA, Miroslav, Ondrej MACHACZKA, Martin PORZER, Milan KOZÁK, Jiri PLASEK a David SIPULA. Comparison of different methods of ABI acquisition for detection of peripheral artery disease in diabetic patients. Biomedical papers. Olomouc: Palacky University, 2019, roč. 163, č. 3, s. 227-232. ISSN 1213-8118. Dostupné z: https://dx.doi.org/10.5507/bp.2018.046.

@article{1477989,
   author = {Homza, Miroslav and Machaczka, Ondrej and Porzer, Martin and Kozák, Milan and Plasek, Jiri and Sipula, David},
   article_location = {Olomouc},
   article_number = {3},
   doi = {http://dx.doi.org/10.5507/bp.2018.046},
   keywords = {ankle brachial index; diabetes; oscillometric measurement; dopplerometric measurement; duplex ultrasonography},
   language = {eng},
   issn = {1213-8118},
   journal = {Biomedical papers},
   title = {Comparison of different methods of ABI acquisition for detection of peripheral artery disease in diabetic patients},
   url = {http://dx.doi.org/10.5507/bp.2018.046},
   volume = {163},
   year = {2019}
}

TY  - JOUR
ID  - 1477989
AU  - Homza, Miroslav - Machaczka, Ondrej - Porzer, Martin - Kozák, Milan - Plasek, Jiri - Sipula, David
PY  - 2019
TI  - Comparison of different methods of ABI acquisition for detection of peripheral artery disease in diabetic patients
JF  - Biomedical papers
VL  - 163
IS  - 3
SP  - 227-232
EP  - 227-232
PB  - Palacky University
SN  - 12138118
KW  - ankle brachial index
KW  - diabetes
KW  - oscillometric measurement
KW  - dopplerometric measurement
KW  - duplex ultrasonography
UR  - http://dx.doi.org/10.5507/bp.2018.046
L2  - http://dx.doi.org/10.5507/bp.2018.046
N2  - Background: Ankle brachial index (ABI) is the principal screening method for peripheral arterial disease (PAD). In this study, we compare various types of Doppler-derived and oscillometric ABIs with results obtained through duplex ultrasonography. Methods: 62 patients were enrolled in the study. For each limb, blood pressures for both ankle arteries and the arm were measured using Doppler and an automated oscillometric device. Duplex ultrasound was performed for all limbs and occlusions >50% were considered PAD-positive. ABI was calculated using both higher (HABP) and lower (LABP) arterial blood pressure on the individual limbs and the ability to predict duplex-detected stenoses was evaluated. Results: LABP calculation provided results superior to the guideline-recommended HABP. Considering patients with ABI >1.4 or measurement failure as PAD-positive further enhanced the test parameters. The higher ABI cut-off of 1.0 resulted in somewhat better sensitivities (max 92%) and negative predictive values (max 87%) at the expense of a substantial increase in the number of false positives. Oscillometric method yielded poor sensitivities but very good specificities (max 94%) and positive predictive values (max 90%). Conclusions: Doppler-based LABP provides better results than the guideline-recommended HABP in diabetic patients, nevertheless even this method is not perfect. Increasing the cut-off value to 1.0 in these patients does not bring a substantial improvement of the test performance. Patients with high ABI should be automatically considered PAD-positive and referred for further investigation using imaging techniques.
ER  -

HOMZA, Miroslav, Ondrej MACHACZKA, Martin PORZER, Milan KOZÁK, Jiri PLASEK a David SIPULA. Comparison of different methods of ABI acquisition for detection of peripheral artery disease in diabetic patients. \textit{Biomedical papers}. Olomouc: Palacky University, 2019, roč.~163, č.~3, s.~227-232. ISSN~1213-8118. Dostupné z: https://dx.doi.org/10.5507/bp.2018.046.

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