Detection of Peripheral Arterial Disease (PAD) in Diabetics using Ankle Brachial Index (ABI)

Authors

  • Khatoon Akhtar Bano PMRC Research Centre, Fatima Jinnah Medical College, Lahore. Pakistan
  • Naheed Hashmat Department of Medical Unit I, Sir Ganga Ram Hospital, Fatima Jinnah Medical College, Lahore. Pakistan
  • Asia Batool PMRC Research Centre, Fatima Jinnah Medical College, Lahore. Pakistan
  • Shameem Ahmad Siddiqui PMRC Research Centre, Fatima Jinnah Medical College, Lahore. Pakistan

Keywords:

Ankle Brachial Index, peripheral arterial disease, cardiovascular complications, diabetic foot

Abstract

Objective:

To evaluate the Ankle Brachial Index (ABI) in the detection of peripheral arterial disease (PAD)among diabetic patients.Setting: Diabetic clinic o f PMRC Research Centre, Fatima Jinnah Medical College, Lahore.

Study Design:

Cross sectional descriptive.

Subjects & Methods:

This pilot study included 95 diabetic patients with ages 40 years or above and durationof the disease was more than 5 years. Detailed history including treatment was documented. Duringexamination systolic blood pressure in the right and left arms (Brachial Pressure) was measured & documented.Systolic Blood Pressure in both ankles was measured using ultrasound Doppler probe (Huntleigh SuperDoppler - II). Left and right ABI were obtained by dividing brachial systolic pressure with ankle systolicpressure. A ratio of 0.9 or above was taken as normal.

Results:

The study included 95 patients (15 males and 80 females) with mean age 51.90 ± 9.49 years andmean duration of diabetes 13.23 ± 5.83 years. Smoking was observed in 53.30%, hypertension in 57.89%and 71.57% had dyslipidemia. ABI ratio was mildly abnormal in 52.68%, moderately abnormal in 7.38%while it was normal in 38.94% cases. Duration of thedisease was negatively correlated (r = - 0.650 & 0.937)with ABI & correlation was highly significant (p < 0.047 & 0.008). Blood sugar and lipid levels were notsignificantly correlated with ABI.

Conclusions:

The results conclude the detection ofhigh percentage (60.08) of abnormal ABI in this groupof patients. Ankle brachial index, a non-invasive and simple technique, may be used to screen the detectionof PAD and diabetic foot.

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Published

2010-04-10

How to Cite

Akhtar Bano, K. ., Hashmat, N. ., Batool, A. ., & Ahmad Siddiqui, S. . (2010). Detection of Peripheral Arterial Disease (PAD) in Diabetics using Ankle Brachial Index (ABI). Journal of the Dow University of Health Sciences (JDUHS), 4(1), 8–12. Retrieved from https://jduhs.jduhs.duhs.edu.pk/index.php/jduhs/article/view/1287

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Section

Original Articles