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Microfabricated Post-Array-Detectors (mPADs): an Approach to Isolate Mechanical Forces
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Got PAD? Hidden dangers revealed with ABI.

Jamey Stephens1, Debra Hagler, Edward Clark

  • 1Arizona State University, Tempe, Arizona, USA. jamey@jameystephens.com

Journal of Vascular Nursing : Official Publication of the Society for Peripheral Vascular Nursing
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Ankle brachial index (ABI) screening significantly increases peripheral artery disease (PAD) diagnosis rates in primary care. Early PAD detection through ABI improves patient outcomes and awareness, enabling timely intervention.

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Area of Science:

  • Cardiovascular Medicine
  • Vascular Surgery
  • Preventive Cardiology

Background:

  • Peripheral artery disease (PAD) affects millions, increasing mortality risk from heart attacks and strokes.
  • Early PAD diagnosis and risk reduction can lower healthcare costs and improve patient survival.
  • Current screening methods like physical exams may underdiagnose PAD.

Purpose of the Study:

  • To evaluate the effectiveness of ankle brachial index (ABI) screening in diagnosing PAD in a primary care setting.
  • To compare PAD diagnosis rates between patients undergoing ABI screening and those relying on traditional methods.
  • To assess the impact of ABI screening on early intervention and patient awareness.

Main Methods:

  • ABI screening, including arterial waveform analysis, was implemented in a primary care practice.
  • Outcomes were compared between patients who received ABI screening and those who declined it.
  • Historical data and physical exam findings were used for comparison.

Main Results:

  • ABI screening with arterial waveform analysis resulted in a 78% PAD diagnosis rate.
  • Only 13% of patients not undergoing ABI screening were diagnosed with PAD based on symptoms and physical exam.
  • ABI screening increased the frequency and awareness of PAD diagnoses.

Conclusions:

  • ABI screening is a more effective method for diagnosing PAD than traditional physical exams and questionnaires.
  • Implementing ABI screening in primary care facilitates earlier detection and intervention for PAD.
  • Wider adoption of ABI screening can lead to improved patient outcomes and reduced healthcare burden.