P140 COMPARISON OF DOPPLER AND OSCILLOMETRIC METHODS OF ASSESSING ANKLE-BRACHIAL INDEX IN PATIENTS WITH SYSTEMIC LUPUS ERYTHEMATOSUS

Kwame Yeboah; Mensah Owusu; N.A. Rchard; Dzifa Dey; Vincent Boima; J. Kennedy Cruickshank

doi:10.1016/j.artres.2017.10.152

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Volume 20, Issue C, December 2017, Pages 95 - 95

P140 COMPARISON OF DOPPLER AND OSCILLOMETRIC METHODS OF ASSESSING ANKLE-BRACHIAL INDEX IN PATIENTS WITH SYSTEMIC LUPUS ERYTHEMATOSUS

Authors

Kwame Yeboah¹, Mensah Owusu¹^{, 2}^{, 3}, N.A. Rchard¹, Dzifa Dey², Vincent Boima², J. Kennedy Cruickshank³

¹Department of Physiology, School of Biomedical & Allied Health Sciences, University of Ghana, Accra, Ghana

²Department of Medicine & Therapeutics, School of Medicine & Dentistry, University of Ghana, Accra, Ghana

³Cardiovascular Medicine Group, Division of Diabetes and Nutrition, King’s College and King’s Health Partners, London, UK

Available Online 6 December 2017.

DOI: 10.1016/j.artres.2017.10.152 How to use a DOI?
Open Access: This is an open access article distributed under the CC BY-NC license.

Objective: Peripheral arterial disease (PAD) is a common cardiovascular complication in systemic lupus erythematosus (SLE) patients [1]. PAD is objectively diagnosed with ankle-brachial index (ABI), which can be measured by the Doppler method, or oscillometric technique [2]. In Ghanaian SLE patients, we compared the utility of oscillometric ABI to Doppler ABI, which is the ‘gold standard’.

Method: ABI was measured using 8 MHz hand-held Doppler (LifeDop 250, Summit Doppler) and oscillometric technique (Vasera 1500N, Fukuda Denshi) in 80 SLE patients (160 legs). PAD was defined as ABI < 0.9 in at least one leg.

Results: There prevalence of PAD by oscillometric technique was higher than that of Doppler technique (32.5% vs 23.8%, p = 0.004). There was fair level of agreement between PAD by Doppler and oscillometric techniques (κ = 0.36, p = 0.003). Doppler ABI correlated with oscillomteric ABI in the right leg (r = 0.34, p = 0.005), but not in the left leg (r = 0.18, p = 0.127). Reliability analysis showed that Doppler-ABI does not agree with oscillometric ABI in both right (intraclass r = 0.23, p = 0.13) and left (intraclass r = 0.31, p = 0.061) legs.

Conclusion: In Ghanaian SLE patients with high prevalence of PAD, measurement of ABI using oscillometric technique does not agree with Doppler-based ABI.

References

1.JG Erdozain, I Villar, J Nieto, and G Ruiz-Irastorza, Peripheral arterial disease in systemic lupus erythematosus: prevalence and risk factors, The Journal of rheumatology, Vol. 41, No. 2, 2014, pp. 310-317.

2.JA Beckman, CO Higgins, and M Gerhard-Herman, Automated Oscillometric Determination of the Ankle–Brachial Index Provides Accuracy Necessary for Office Practice, Hypertension, Vol. 47, No. 1, 2006, pp. 35-38.

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Journal: Artery Research
Volume-Issue: 20 - C
Pages: 95 - 95
Publication Date: 2017/12/06
ISSN (Online): 1876-4401
ISSN (Print): 1872-9312
DOI: 10.1016/j.artres.2017.10.152 How to use a DOI?
Open Access: This is an open access article distributed under the CC BY-NC license.

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ris enw bib

TY  - JOUR
AU  - Kwame Yeboah
AU  - Mensah Owusu
AU  - N.A. Rchard
AU  - Dzifa Dey
AU  - Vincent Boima
AU  - J. Kennedy Cruickshank
PY  - 2017
DA  - 2017/12/06
TI  - P140 COMPARISON OF DOPPLER AND OSCILLOMETRIC METHODS OF ASSESSING ANKLE-BRACHIAL INDEX IN PATIENTS WITH SYSTEMIC LUPUS ERYTHEMATOSUS
JO  - Artery Research
SP  - 95
EP  - 95
VL  - 20
IS  - C
SN  - 1876-4401
UR  - https://doi.org/10.1016/j.artres.2017.10.152
DO  - 10.1016/j.artres.2017.10.152
ID  - Yeboah2017
ER  -

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