脚-手臂指数:不仅仅是一个诊断测试?
Ludwig Cáceres-Farfán1, Milagros Moreno-Loaiza1, W Samir Cubas1
1Service of Vascular and Endovascular Surgery, Department of Thoracic and Cardiovascular Surgery, Edgardo Rebagliati Martins National Hospital, Lima, Peru. Service of Vascular and Endovascular Surgery Department of Thoracic and Cardiovascular Surgery Edgardo Rebagliati Martins National Hospital Lima Peru.
脚-手臂指数 (ABI) 是对周围动脉疾病 (PAD) 的一个有价值的诊断工具. 低或高的ABI也预测了显著的心血管事件和死亡率.
科学领域:
- 血管医学 血管医学
- 心脏病学 心脏病学
- 诊断测试 诊断测试 诊断测试
背景情况:
- 脚-手臂指数 (ABI) 测量了脚相对于手臂的血压.
- 病理性ABI值 (<0.90或>1.40) 是外周动脉疾病 (PAD) 的标志.
- 由于其与心血管疾病发病率和死亡率的增加有关,PAD诊断至关重要.
研究的目的:
- 审查目前关于ABI对PAD的诊断实用性的证据.
- 突出ABI作为心血管疾病发病率和死亡率预测者的作用.
主要方法:
- 对评估脚-手臂指数的研究进行文献综述.
- 分析ABI与PAD诊断和心血管结果的相关性.
主要成果:
- ABI是一种非常有用,具有成本效益和可重复性测试,用于诊断PAD.
- 低ABI是主要心血管事件的确定的预测指标,包括与糖尿病,冠状动脉疾病和中风有关的事件.
结论:
- 脚-手臂指数对于PAD诊断至关重要.
- ABI是心血管疾病和死亡率的关键预后标志物.
相关概念视频
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
Assessment of blood pressure in brachial artery(one-step method)
Prepare for the Procedure:
Sites for measruring blood pressure
The Brachial Artery: Primary Site for Blood Pressure Measurement
Assessment of blood pressure in brachial artery(two-step method)
Pre-Procedural Guidelines for Assessing Blood Pressure
Special considerations while measuring blood pressure
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.


