-
Je něco špatně v tomto záznamu ?
Ankle-brachial index in diabetic patients - which uppercut-off value is to be used?
Homza M., Machaczka O., Porzer M., Kozak M., Plasek J., Sipula D.
Jazyk angličtina Země Slovensko
- MeSH
- diabetické angiopatie diagnóza MeSH
- lidé MeSH
- onemocnění periferních cév diagnóza MeSH
- prediktivní hodnota testů MeSH
- prospektivní studie MeSH
- tlakový index kotník-paže * MeSH
- Check Tag
- lidé MeSH
OBJECTIVES: In diabetic patients, there is a discrepancy in guidelines for ankle-brachial index (ABI) screening for peripheral arterial disease (PAD). While diabetes organizations suggest the value of upper limit of normal ABI to be 1.3, cardiologists recommend 1.4. Also, guidelines recommend using the higher value of ankle pres-sure (HAP) but multiple recent studies propose the opposite (LAP). METHODS: In this prospective study, we performed ABI measurements in 62 diabetic patients. Results were calculated by comparing higher and lower values of ankle pressure to those of duplex ultrasound (stenosis ≥ 50 % was considered PAD). Special attention was paid to patients with high and non-measurable ABI.RESULTS: LAP ABI appears to be a preferable method for PAD screening in diabetics. The upper cut-off value of 1.4 yielded better results with sensitivity of 93 % and negative predictive value of 91 %. No limbs with ABI between 1.3 and 1.4 with signifi cant stenosis were found. However, using HAP for the upper cut-off captured additional PAD patients. PAD was abundant among patients with high or non-measurable ABI.CONCLUSIONS: LAP should be used for assessing low ABI (cut-off 0.9) while HAP for detecting the abnormally high ABI. The preferable high ABI cut-off is 1.4. Condition with abnormally high or non-measurable ABI should be considered as PAD (Tab. 3, Ref. 22). Text in PDF www.elis.sk.KEY WORDS: ankle-brachial index, diabetes, peripheral arterial disease, lower extremity arterial disease, cut-off.
Literatura
- 000
- 00000naa a2200000 a 4500
- 001
- bmc19034326
- 003
- CZ-PrNML
- 005
- 20200403115948.0
- 007
- ta
- 008
- 191007s2018 xo f 000 0|eng||
- 009
- AR
- 024 0_
- $a 10.4149/BLL_2018_145 $2 doi
- 040 __
- $a ABA008 $d ABA008 $e AACR2 $b cze
- 041 0_
- $a eng
- 044 __
- $a xo
- 100 1_
- $a Homza, Miroslav, $d 1962- $7 xx0075642 $u Department of Internal Medicine, Faculty of Medicine, University of Ostrava, Czech Republic
- 245 10
- $a Ankle-brachial index in diabetic patients - which uppercut-off value is to be used? / $c Homza M., Machaczka O., Porzer M., Kozak M., Plasek J., Sipula D.
- 504 __
- $a Literatura
- 520 9_
- $a OBJECTIVES: In diabetic patients, there is a discrepancy in guidelines for ankle-brachial index (ABI) screening for peripheral arterial disease (PAD). While diabetes organizations suggest the value of upper limit of normal ABI to be 1.3, cardiologists recommend 1.4. Also, guidelines recommend using the higher value of ankle pres-sure (HAP) but multiple recent studies propose the opposite (LAP). METHODS: In this prospective study, we performed ABI measurements in 62 diabetic patients. Results were calculated by comparing higher and lower values of ankle pressure to those of duplex ultrasound (stenosis ≥ 50 % was considered PAD). Special attention was paid to patients with high and non-measurable ABI.RESULTS: LAP ABI appears to be a preferable method for PAD screening in diabetics. The upper cut-off value of 1.4 yielded better results with sensitivity of 93 % and negative predictive value of 91 %. No limbs with ABI between 1.3 and 1.4 with signifi cant stenosis were found. However, using HAP for the upper cut-off captured additional PAD patients. PAD was abundant among patients with high or non-measurable ABI.CONCLUSIONS: LAP should be used for assessing low ABI (cut-off 0.9) while HAP for detecting the abnormally high ABI. The preferable high ABI cut-off is 1.4. Condition with abnormally high or non-measurable ABI should be considered as PAD (Tab. 3, Ref. 22). Text in PDF www.elis.sk.KEY WORDS: ankle-brachial index, diabetes, peripheral arterial disease, lower extremity arterial disease, cut-off.
- 650 _2
- $a diabetické angiopatie $x diagnóza $7 D003925
- 650 12
- $a tlakový index kotník-paže $7 D055109
- 650 _2
- $a onemocnění periferních cév $x diagnóza $7 D016491
- 650 _2
- $a prediktivní hodnota testů $7 D011237
- 650 _2
- $a lidé $7 D006801
- 650 _2
- $a prospektivní studie $7 D011446
- 700 1_
- $a Machaczka, Ondřej $7 xx0224260 $u Department of Epidemiology and Public Health, Faculty of Medicine, University of Ostrava, Czech Republic
- 700 1_
- $a Porzer, Martin $7 xx0233503 $u Department of Internal Medicine, Faculty of Medicine, University of Ostrava, Czech Republic
- 700 1_
- $a Kozák, Milan, $d 1967- $7 stk2008428619 $u Department of Internal Cardiology Medicine, Faculty of Medicine, Masaryk University Brno, Czech Republic
- 700 1_
- $a Plášek, Jiří $7 xx0107483 $u Department of Internal Medicine, Faculty of Medicine, University of Ostrava, Czech Republic
- 700 1_
- $a Šipula, David, $d 1979- $7 xx0103363 $u Department of Internal Medicine, Faculty of Medicine, University of Ostrava, Czech Republic
- 773 0_
- $t Bratislavské lekárske listy $x 0006-9248 $g Roč. 119, č. 12 (2018), s. 793-797 $w MED00000845
- 856 41
- $u http://www.elis.sk/download_file.php?product_id=5976 $y plný text volně přístupný
- 910 __
- $a ABA008 $b A 4 $c 1067 $y p $z 0
- 990 __
- $a 20191007134632 $b ABA008
- 991 __
- $a 20200403120422 $b ABA008
- 999 __
- $a ok $b bmc $g 1450769 $s 1072875
- BAS __
- $a 3
- BMC __
- $a 2018 $b 119 $c 12 $d 793-797 $i 0006-9248 $m Bratislavské lekárske listy $x MED00000845
- LZP __
- $c NLK125 $d 20200403 $a NLK 2019-11/kv