Porras CJ

Language: Spanish
References: 17
Page: 359-363
PDF size: 969.68 Kb.

ABSTRACT

PAD (Peripheral Artery Disease) it is an important public health problem that is ignored and it is consider an infradiagnosed disease for a lot of physicians. The ambulatory method of preference for the diagnosis is the The Ankle Brachial Index (ABI) is the ratio of the systolic blood pressure in the lower legs to the systolic blood pressure in the arms. Since these test need a Doppler Wand, there is some options to measure these index without the Doppler that are exposed in these article .Like the palpation ABI, Auscultatory ABI and the Oscillometric ABI. These methods are sensitive enough to consider them in the primary care practice as screening methods. But can’t replace the Doppler ABI, since they are not very accurate in patient with crural disease, patients with lower pressures and in patients with non palpable pulses.

REFERENCES

1. Beckman Joshua M.D, Caitlin O. Higgins, Marie Gerhard-Herman. Automated Oscillometric Determination of the Ankle–Brachial Index Provides Accuracy Necessary for Office Practice. Hypertension. 2006;47:35-38;

2. Carmo GA, Mandil A, Nascimento BR, Arantes BD, Bittencourt JC, Falqueto EB, Ribeiro AL.. Can we measure the ankle-brachial index using only a stethoscope? A pilot study. Fam Pract 2009 Feb;26(1):22

3. Centers for Disease Control and Prevention (CDC) . Lower extremity disease among persons aged > or =40 years with and without diabetes--United States, 1999-2002. MMWR Morb Mortal Wkly Rep. 2005 Nov 18;54(45):1158- 60.

4. Collins TC, Petersen NJ, Suarez- Almazor M, Ashton CM. The prevalence of peripheral arterial disease in a racially diverse population. Arch Intern Med. 2003 Jun 23;163(12):1469-74.

5. Collins TC, Suarez-Almazor M, Peterson NJ. An absent pulse is not sensitive for the early detection of peripheral arterial disease. Fam Med. 2006 Jan;38(1):38- 42.

6. Guerra Hernández IM, Fandino Cobo ME, Madan Pérez MT, Hernández Sanabria F, Del Toro Modolelle N, Rufino Delgado T. Índice tobillo-brazo y riesgo cardiovascular en varones de atención primaria. Clin Invest Arterioscl. 2010;22:186---91.

7. Hirsch Allan MD; Michael H. Criqui, MD, MPH; Diane Treat-Jacobson, PhD. Peripheral Arterial Disease Detection, Awareness, and Treatment in Primary Care. JAMA. 2001;286(11):1317-1324.

8. Jill J. F. Belch, MD; Eric J. Topol, MD; Giancarlo Agnelli, MD; Michel Bertrand. Critical Issues in Peripheral Arterial Disease Detection and Management. Arch Intern Med. 2003;163(8):884-892.

9. Kornø M, Eldrup N, Sillesen H. Comparison of ankle-brachial index measured by an automated oscillometric apparatus with that by standard Doppler technique in vascular patients. Eur J Vasc Endovasc Surg. 2009 Nov;38(5):610-5.

10. MacDougall MD, Vikas Tandon MD, Merne P Wilson RN MSc, Thomas W Wilson MD MSc FRCPC FACP. Oscillometric measurement of the anklebrachial index. Canadian Journal of Cardiology Vol 24 No 1 January 2008.

11. McLafferty RB, Dunnington GL, Mattos MA, Markwell SJ, Ramsey DE, Henretta JP, Karch LA, Hodgson KJ,Sumner DS. Factors affecting the diagnosis of peripheral vascular disease before vascular surgery referral. Journal of Vascular Surgery [2000, 31(5):870-879].

12. Mehlsen J, Wiinberg N, Bruce C. Oscillometric blood pressure measurement: a simple method in screening for peripheral arterial disease. Clin Physiol Funct Imaging. 2008 Nov;28(6):426-9.

13. Migliacci Rino, Roberto Nasorri2, Paolo Ricciarini y Paolo Gresele. Ankle– brachial index measured by palpation for the diagnosis of peripheral arterial disease. Fam Pract. 2008 Aug;25(4):228- 32.

14. Nukumizu Y, Matsushita M, Sakurai T, Kobayashi M, Nishikimi N, Komori K. Comparison of Doppler and oscillometric ankle blood pressure measurement in patients with angiographically documented lower extremity arterial occlusive disease. Angiology. 2007 Jun- Jul;58(3):303-8.

15. Quirós-Meza G, Salazar-Nassar J ,Castillo-Rivas J. Care of Patients with Peripheral Artery Disease in the Hospitals of the Costa Rican Social Security System. Acta méd. costarric vol.53 no.4 San José dic. 2011.

16. Richart T, Kuznetsova T, Wizner B, Struijker-Boudier HA, Staessen JA Validation of automated oscillometric versus manual measurement of the ankle-brachial index. Hypertens Res. 2009 Oct;32(10):884-8. doi: 10.1038/ hr.2009.125. Epub 2009 Sep 4.

17. Takahashia Osamu, Takuro Shimbob, Mahbubur Rahmanc,Rahman Musaa, Wataru Kurokawad, Takeshi Yoshinakae and Tsuguya Fukuif. Validation of the auscultatory method for diagnosing peripheral arterial disease. Fam Pract. 2006 Feb;23(1):10-4.