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The ABPI is the ratio of the highest ankle to brachial artery pressure. An ABPI between and including 0.90 and 1.29 considered normal (free from significant PAD), while a lesser than 0.9 indicates arterial disease. [14]
Ankle-brachial pressure index (ABPI) assesses peripheral vascular disease. [1] 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.
Ischemia is graded 0 through 3 based on ABI, ankle systolic pressure, and toe pressure. [66] Grade 0: ABI ≥0.80, ankle systolic pressure ≥100 mm Hg, toe pressure ≥60 mm Hg; Grade 1: arterial brachial index 0.6 to 0.79, ankle systolic pressure 70 to 100 mm Hg, toe pressure 40 to 59 mm Hg; Grade 2: ABI 0.4–0.59, ankle systolic pressure 50 ...
Blood pressure in toes can be measured using special equipment, and is often valuable in assessment of severe peripheral artery disease, in particular in patients with diabetes where measurement of ankle pressure / ABPI is often unreliable (because of local stiffening of arterial wall).
In adults, a normal blood pressure is 120/80, with 120 being the systolic and 80 being the diastolic reading. [12] Usually, the blood pressure is read from the left arm unless there is some damage to the arm. The difference between the systolic and diastolic pressure is called the pulse pressure.
ABPI may refer to: 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
This page was last edited on 26 December 2016, at 09:53 (UTC).; Text is available under the Creative Commons Attribution-ShareAlike 4.0 License; additional terms may apply.
Segmental blood pressure is used to measure actual limb blood pressure, to assess and locate arterial occlusion. On the legs, pressure is measured at the ankle, below the knee, above the knee, and mid-thigh. On the arm, measurements are taken at the wrist, below the elbow, above the elbow, and mid-upper arm. [1]