Clinical Physiology of Circulation

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, Director of Bakoulev National Medical Research Center for Cardiovascular Surgery

Ankle-brachial index – the primary non-invasive screening test for the diagnosis of diseases of the lower limb arteries: the possibilities and limitations of the method

Authors: method

Bakoulev National Medical Research Center for Cardiovascular Surgery, Moscow, 121552, Russian Federation

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UDC: 616.13/.14

Link: Clinical Physiology of Blood Circulaiton. 2020; 17 (3): 183-188

Quote as: Shumilina M.V., Keren M.A., Khadzegova O.A. Ankle-brachial index – the primary non-invasive screening test for the diagnosis of diseases of the lower limb arteries: the possibilities and limitations of the method. Clinical Physiology of Circulation. 2020; 17 (3): 183–8 (in Russ.). DOI: 10.24022/1814-6910-2020-17-3-183-188

Received / Accepted:  12.05.2020/18.05.2020

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Patients with atherosclerosis of the arteries of the lower extremities have a significantly increased risk from cardiovascular diseases. Moreover, these patients often have an asymptomatic course of the disease, which is usually associated with the presence of concomitant pathology. Because of this, special attention take note to issues of timely detection of the disease, especially among patients with presumed risk factors (such as coronary heart disease, diabetes mellitus, smokers, etc.). According to current recommendations for the diagnosis and treatment of diseases of peripheral arteries, it has indicated that the ankle-brachial index (ABI) is the main screening test that allows you to recognize significant atherosclerosis of lower limb arteries in time. In the case of a false positive systolic ABI due to poor compressibility of the arteries, measuring the diastolic ankle-brachial index can give an objective idea of arterial blood flow in the lower extremities. ABI can also be used to screen for other diseases. To improve the quality of assessing lesions of the arteries of the lower extremities by the screening method, a comprehensive analysis of factors is performed: the morphology of the dopplerogram is evaluated; the indices of regional systolic pressure, linear blood flow velocities, and indices of peripheral resistance are calculated.


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About Authors

  • Margarita V. Shumilina, Dr. Med. Sc., Head of Group of Ultrasound Studies of Cardiovascular and Organ Pathology, Professor of Chair of Cardiology and Functional Diagnostics, Institute of Training of Highly Gualified Personnel and Professional Education (ITHGP and PE); 
  • Milena A. Keren, Dr. Med. Sc., Professor of Chair of Cardiology and Functional Diagnostics, ITHGP and PE; 
  • Olesya A. Khadzegova, Resident Physician of Chair of Cardiology and Functional Diagnostics, ITHGP and PE

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