Ankle-brachial index in diabetic patients - which upper cut-off
value is to be used?

J 2018

Ankle-brachial index in diabetic patients - which upper cut-off value is to be used?

HOMZA, M., O. MACHACZKA, M. PORZER, Milan KOZÁK, J. PLASEK et. al.

Basic information

Original name

Ankle-brachial index in diabetic patients - which upper cut-off value is to be used?

Authors

HOMZA, M. (203 Czech Republic, guarantor), O. MACHACZKA (203 Czech Republic), M. PORZER (203 Czech Republic), Milan KOZÁK (203 Czech Republic, belonging to the institution), J. PLASEK (203 Czech Republic) and D. SIPULA (203 Czech Republic)

Edition

Bratislava Medical Journal - Bratislavské lekárske listy, BRATISLAVA, Univerzita Komenského, 2018, 0006-9248

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30201 Cardiac and Cardiovascular systems

Country of publisher

Slovakia

Confidentiality degree

není předmětem státního či obchodního tajemství

Impact factor

Impact factor: 0.859

RIV identification code

RIV/00216224:14110/18:00106275

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.4149/BLL_2018_145

UT WoS

000457047700011

Keywords in English

ankle-brachial index; diabetes; peripheral arterial disease; lower extremity arterial disease; cut-off

Abstract

V originále

OBJECTIVES: In diabetic patients, there is a discrepancy in guidelines for ankle-brachial index (ABI) screening for peripheral arterial disease (PAD). While diabetes organizations suggest the value of upper limit of normal ABI to be 1.3, cardiologists recommend 1.4. Also, guidelines recommend using the higher value of ankle pressure (HAP) but multiple recent studies propose the opposite (LAP). METHODS: In this prospective study, we performed ABI measurements in 62 diabetic patients. Results were calculated by comparing higher and lower values of ankle pressure to those of duplex ultrasound (stenosis >= 50 % was considered PAD). Special attention was paid to patients with high and non-measurable ABI. RESULTS: LAP ABI appears to be a preferable method for PAD screening in diabetics. The upper cut-off value of 1.4 yielded better results with sensitivity of 93 % and negative predictive value of 91 %. No limbs with ABI between 1.3 and 1.4 with signifi cant stenosis were found. However, using HAP for the upper cut-off captured additional PAD patients. PAD was abundant among patients with high or non-measurable ABI. CONCLUSIONS: LAP should be used for assessing low ABI (cut-off 0.9) while HAP for detecting the abnormally high ABI. The preferable high ABI cut-off is 1.4. Condition with abnormally high or non-measurable ABI should be considered as PAD (Tab. 3, Ref. 22). Text in PDF www. elis. sk.

Citovat

HOMZA, M., O. MACHACZKA, M. PORZER, Milan KOZÁK, J. PLASEK and D. SIPULA. Ankle-brachial index in diabetic patients - which upper cut-off value is to be used? Bratislava Medical Journal - Bratislavské lekárske listy. BRATISLAVA: Univerzita Komenského, 2018, vol. 119, No 12, p. 793-797. ISSN 0006-9248. Available from: https://dx.doi.org/10.4149/BLL_2018_145.

@article{1499338,
   author = {Homza, M. and Machaczka, O. and Porzer, M. and Kozák, Milan and Plasek, J. and Sipula, D.},
   article_location = {BRATISLAVA},
   article_number = {12},
   doi = {http://dx.doi.org/10.4149/BLL_2018_145},
   keywords = {ankle-brachial index; diabetes; peripheral arterial disease; lower extremity arterial disease; cut-off},
   language = {eng},
   issn = {0006-9248},
   journal = {Bratislava Medical Journal - Bratislavské lekárske listy},
   title = {Ankle-brachial index in diabetic patients - which upper cut-off value is to be used?},
   volume = {119},
   year = {2018}
}

TY  - JOUR
ID  - 1499338
AU  - Homza, M. - Machaczka, O. - Porzer, M. - Kozák, Milan - Plasek, J. - Sipula, D.
PY  - 2018
TI  - Ankle-brachial index in diabetic patients - which upper cut-off value is to be used?
JF  - Bratislava Medical Journal - Bratislavské lekárske listy
VL  - 119
IS  - 12
SP  - 793-797
EP  - 793-797
PB  - Univerzita Komenského
SN  - 00069248
KW  - ankle-brachial index
KW  - diabetes
KW  - peripheral arterial disease
KW  - lower extremity arterial disease
KW  - cut-off
N2  - OBJECTIVES: In diabetic patients, there is a discrepancy in guidelines for ankle-brachial index (ABI) screening for peripheral arterial disease (PAD). While diabetes organizations suggest the value of upper limit of normal ABI to be 1.3, cardiologists recommend 1.4. Also, guidelines recommend using the higher value of ankle pressure (HAP) but multiple recent studies propose the opposite (LAP). METHODS: In this prospective study, we performed ABI measurements in 62 diabetic patients. Results were calculated by comparing higher and lower values of ankle pressure to those of duplex ultrasound (stenosis >= 50 % was considered PAD). Special attention was paid to patients with high and non-measurable ABI. RESULTS: LAP ABI appears to be a preferable method for PAD screening in diabetics. The upper cut-off value of 1.4 yielded better results with sensitivity of 93 % and negative predictive value of 91 %. No limbs with ABI between 1.3 and 1.4 with signifi cant stenosis were found. However, using HAP for the upper cut-off captured additional PAD patients. PAD was abundant among patients with high or non-measurable ABI. CONCLUSIONS: LAP should be used for assessing low ABI (cut-off 0.9) while HAP for detecting the abnormally high ABI. The preferable high ABI cut-off is 1.4. Condition with abnormally high or non-measurable ABI should be considered as PAD (Tab. 3, Ref. 22). Text in PDF www. elis. sk.
ER  -

HOMZA, M., O. MACHACZKA, M. PORZER, Milan KOZÁK, J. PLASEK and D. SIPULA. Ankle-brachial index in diabetic patients - which upper cut-off value is to be used? \textit{Bratislava Medical Journal - Bratislavské lekárske listy}. BRATISLAVA: Univerzita Komenského, 2018, vol.~119, No~12, p.~793-797. ISSN~0006-9248. Available from: https://dx.doi.org/10.4149/BLL\_{}2018\_{}145.

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