Ankle/Brachial Index in the Primary Care Setting

Jeffrey K. Raines, Jon Farrar, Karlene Noicely, Jasmine Pena, Warren W. Davis, Howard J. Willens, Dennis D. Wallace

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Peripheral arterial disease (PAD) is an underdiagnosed circulatory problem in the primary care setting. Individuals are at increased risk for cardiovascular disease; therefore, there is the need for a technique capable of early identification and detection of patients with PAD. The focus of this study was to compare the accuracy of a new operator-independent method of measuring ankle brachial index (ABI) with the traditional Doppler ultrasound method of determining ABI. In 246 limbs the authors compared ankle systolic pressures and ABI measured by a new automated oscillatory method called the ABIgram with those measured by standard Doppler ultrasound. In phase 1, the 2 methods for measuring ankle systolic pressure had a mean difference of 2 mm Hg with a standard deviation of 6.7 mm Hg. In phase 2 the mean difference was 3.1 mm Hg with a standard deviation of 5.1 mm Hg. Further, ABI as measured by the 2 methods fell within 1% and demonstrated a 5% error in reproducibility. These numbers pass the SP-10 standard for medical devices established by the FDA. The ABIgram module of the Vasocor® Vascular Diagnostic Center offers primary care physicians the ability to rapidly obtain ABI measurements comparable to the standard technique. Further, the ABIgram may be operated by staff commonly found in the primary care setting.

Original languageEnglish
Pages (from-to)131-136
Number of pages6
JournalVascular and Endovascular Surgery
Volume38
Issue number2
DOIs
StatePublished - Mar 1 2004
Externally publishedYes

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Ankle Brachial Index
Primary Health Care
Doppler Ultrasonography
Peripheral Arterial Disease
Ankle
Blood Pressure
Primary Care Physicians
Blood Vessels
Cardiovascular Diseases
Extremities
Equipment and Supplies

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Raines, J. K., Farrar, J., Noicely, K., Pena, J., Davis, W. W., Willens, H. J., & Wallace, D. D. (2004). Ankle/Brachial Index in the Primary Care Setting. Vascular and Endovascular Surgery, 38(2), 131-136. https://doi.org/10.1177/153857440403800204

Ankle/Brachial Index in the Primary Care Setting. / Raines, Jeffrey K.; Farrar, Jon; Noicely, Karlene; Pena, Jasmine; Davis, Warren W.; Willens, Howard J.; Wallace, Dennis D.

In: Vascular and Endovascular Surgery, Vol. 38, No. 2, 01.03.2004, p. 131-136.

Research output: Contribution to journalArticle

Raines, JK, Farrar, J, Noicely, K, Pena, J, Davis, WW, Willens, HJ & Wallace, DD 2004, 'Ankle/Brachial Index in the Primary Care Setting', Vascular and Endovascular Surgery, vol. 38, no. 2, pp. 131-136. https://doi.org/10.1177/153857440403800204
Raines JK, Farrar J, Noicely K, Pena J, Davis WW, Willens HJ et al. Ankle/Brachial Index in the Primary Care Setting. Vascular and Endovascular Surgery. 2004 Mar 1;38(2):131-136. https://doi.org/10.1177/153857440403800204
Raines, Jeffrey K. ; Farrar, Jon ; Noicely, Karlene ; Pena, Jasmine ; Davis, Warren W. ; Willens, Howard J. ; Wallace, Dennis D. / Ankle/Brachial Index in the Primary Care Setting. In: Vascular and Endovascular Surgery. 2004 ; Vol. 38, No. 2. pp. 131-136.
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