Influence of multiple blood pressure measurements on the estimation of the ankle-brachial index and the consequent diagnosis of peripheral artery disease.

Abstract:

OBJECTIVE:The ankle-brachial index (ABI) is the most useful and efficient tool for assessing the presence of peripheral artery disease (PAD). The aim of this study was to evaluate the effect of multiple sequential blood pressure (BP) measurements on the estimation of the ABI and the consequent diagnosis of PAD in a high vascular risk population. METHODS:This is a cross-sectional study of 71 patients admitted to the Cardiology Department or evaluated as outpatients in the Internal Medicine Department at our institution. The ABI was calculated with the first blood pressure (BP) measurement in the arm with the higher BP (dominant arm; method A) and with the average of the second and third measurements in that same arm (method B). The results of both methods were compared. RESULTS:No statistically significant difference was found for the numerical value of ABI between the methods. The κ correlation index for agreement in the diagnosis of PAD between the methods was 0.87 (95% confidence interval: 0.74-0.99). CONCLUSION:Multiple BP measurements had no impact on the final ABI or on the subsequent diagnosis of PAD.

journal_name

Blood Press Monit

authors

Real de Asúa D,Puchades R,García-Polo I,Suárez C

doi

10.1097/MBP.0b013e328351de79

subject

Has Abstract

pub_date

2012-04-01 00:00:00

pages

73-5

issue

2

eissn

1359-5237

issn

1473-5725

journal_volume

17

pub_type

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