12.15 ACCURACY OF OSCILLOMETRIC DETERMINATION OF THE ANKLE-BRACHIAL INDEX AS SCREENING METHOD FOR PERIPHERAL ARTERY DISEASE

L. Campens; T. De Backer; S. Simoens; F. Vermassen; M. Coeman; M. De Pauw; D. De Bacquer

doi:10.1016/j.artres.2011.10.198

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Volume 5, Issue 4, December 2011, Pages 204 - 204

12.15 ACCURACY OF OSCILLOMETRIC DETERMINATION OF THE ANKLE-BRACHIAL INDEX AS SCREENING METHOD FOR PERIPHERAL ARTERY DISEASE

Authors

L. Campens¹, T. De Backer¹, S. Simoens¹, F. Vermassen², M. Coeman¹, M. De Pauw¹, D. De Bacquer¹

¹Department of Cardiology, University Hospital Ghent, Ghent, Belgium

²Department of Thoracic and Vascular Surgery, University Hospital Ghent, Ghent, Belgium

Available Online 29 November 2011.

DOI: 10.1016/j.artres.2011.10.198 How to use a DOI?
Open Access: This is an open access article distributed under the CC BY-NC license.

Aim: The ankle brachial index (ABI) is a non-invasive measure for the assessment of peripheral artery disease (PAD). Currently, its use is not sufficiently implemented in general practice, because it is time-consuming. An automated test may facilitate screening for PAD. In this study we assessed the accuracy and reliability of oscillometric ABI determination compared with Doppler.

Method: A total of 99 subjects, including 27 PAD patients, with various cardiovascular risk profiles (hypertension 45,9%; cardiovascular disease 29,6%; diabetes 24,5%; dyslipidemia 38,8%; smoking 21,4%), were recruited between January 2010 and February 2011 at the Department of Cardiology. Doppler with a handheld probe (Hadeco Bidop ES-100V3) and oscillometric measurements with a validated automated blood pressure system (Datascope Acutorr Plus) were performed in a randomized order. PAD was defined as ABI below 0.9.

Results: The Spearman correlation coefficient between the Doppler and oscillometric method was 0.71 (P< 0.001). The sensitivity and specificity for the oscillometric device for detecting PAD were resp. 80% and 97%, the positive and negative predictive values were resp. 89% and 95%. The average time for Doppler and oscillometric ABI determination significantly differed between both methods (resp. 11 minutes (min) 40 seconds (s) and 4min 29s; p< 0.001). The mean ABI measured with the oscillometric device was slightly higher than with Doppler (resp. 1.03 ± 0.16 and 1.01 ± 0.19; P<0.05 by paired t-test).

Conclusion: These results show that automated ABI determination is an accurate and reliable screening method for the detection of PAD.

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Journal: Artery Research
Volume-Issue: 5 - 4
Pages: 204 - 204
Publication Date: 2011/11/29
ISSN (Online): 1876-4401
ISSN (Print): 1872-9312
DOI: 10.1016/j.artres.2011.10.198 How to use a DOI?
Open Access: This is an open access article distributed under the CC BY-NC license.

Cite this article

ris enw bib

TY  - JOUR
AU  - L. Campens
AU  - T. De Backer
AU  - S. Simoens
AU  - F. Vermassen
AU  - M. Coeman
AU  - M. De Pauw
AU  - D. De Bacquer
PY  - 2011
DA  - 2011/11/29
TI  - 12.15 ACCURACY OF OSCILLOMETRIC DETERMINATION OF THE ANKLE-BRACHIAL INDEX AS SCREENING METHOD FOR PERIPHERAL ARTERY DISEASE
JO  - Artery Research
SP  - 204
EP  - 204
VL  - 5
IS  - 4
SN  - 1876-4401
UR  - https://doi.org/10.1016/j.artres.2011.10.198
DO  - 10.1016/j.artres.2011.10.198
ID  - Campens2011
ER  -

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