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The ankle-brachial pressure index (ABPI) or ankle-brachial index (ABI) is the ratio of the blood pressure at the ankle to the blood pressure in the upper arm (brachium). Compared to the arm, lower blood pressure in the leg suggests blocked arteries due to peripheral artery disease (PAD).
Ankle-brachial pressure index (ABPI) assesses peripheral vascular disease. It may however be unreliable in patients with calcified arteries in the calf (often diabetic patients) or those with extensive oedema, in which case toe pressure or Toe-brachial pressure index (TBPI) should be measured to aid in the diagnosis.
Ankle and toe systolic pressures comparison of value and limitations in arterial occlusive disease. Int Angiol, 1992;11(4):289-97. PMID 12593494 Kröger K, Stewen C, Santosa F, Rudofsky G. Toe pressure measurements compared to ankle artery pressure measurements. Angiology, 2003;54(1):39-44.
If your symptoms persist for a week or two, see your doctor, Gornik suggests. They’ll likely do a physical exam and an ankle-brachial index test, which measures blood pressure in your legs and arms.
If peripheral artery disease is suspected, the initial study is the ankle–brachial index (ABI). [20] The ABI is a simple, non-invasive test that measures the ratio of systolic blood pressure in the ankle to the systolic blood pressure in the upper arm.
Ankle-brachial pressure index, a measure of the fall in blood pressure in the arteries supplying the legs; Association of the British Pharmaceutical Industry, the trade association for companies in the UK producing prescription medicines
A patient's ankle brachial pressure index (ABPI) must be >1.0 per leg to wear compression stockings, otherwise the stockings may obstruct the patient's arterial flow. The ABPI indicates how unobstructed a patient's leg and arm arteries are.
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