Automated Measurements of Ankle-Brachial Index: A Narrative Review
Peripheral artery disease (PAD) is an atherosclerotic disease that causes obstruction in lower limb arteries. It increases cardiovascular risk even in asymptomatic patients. Accurate diagnostic tools for identification of affected individuals are needed. Recently, there have been attempts to establi...
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Format: | Article |
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MDPI AG
2021-11-01
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Online Access: | https://www.mdpi.com/2077-0383/10/21/5161 |
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author | Aleksandra Danieluk Sławomir Chlabicz |
author_facet | Aleksandra Danieluk Sławomir Chlabicz |
author_sort | Aleksandra Danieluk |
collection | DOAJ |
description | Peripheral artery disease (PAD) is an atherosclerotic disease that causes obstruction in lower limb arteries. It increases cardiovascular risk even in asymptomatic patients. Accurate diagnostic tools for identification of affected individuals are needed. Recently, there have been attempts to establish a reliable method of automated ankle-brachial index (ABI) identification. A search of PubMed database to identify studies assessing automatic ABI measurements in agreement with standard PAD diagnosis methods was conducted in December 2020. A total of 57 studies were analyzed in the review. The majority of analyzed studies found ABI measured by automatic oscillometric devices to be potentially feasible for use. Some note that, even though the Doppler and oscillometric methods are not fully interchangeable, the oscillometric devices could be used in screening. Significantly fewer publications are available on automatic plethysmographic devices. For photoplethysmography, most studies reported either good or moderate agreement with reference standards. For air plethysmography, poorer agreement with Doppler ABI is suggested. It is noted that pulse volume recording (PVR) function may improve the diagnostic accuracy of the devices. |
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format | Article |
id | doaj.art-1b755edde790478193f0fd11916e6603 |
institution | Directory Open Access Journal |
issn | 2077-0383 |
language | English |
last_indexed | 2024-03-10T05:58:28Z |
publishDate | 2021-11-01 |
publisher | MDPI AG |
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series | Journal of Clinical Medicine |
spelling | doaj.art-1b755edde790478193f0fd11916e66032023-11-22T21:08:13ZengMDPI AGJournal of Clinical Medicine2077-03832021-11-011021516110.3390/jcm10215161Automated Measurements of Ankle-Brachial Index: A Narrative ReviewAleksandra Danieluk0Sławomir Chlabicz1Department of Family Medicine, Medical University of Białystok, 15-054 Białystok, PolandDepartment of Family Medicine, Medical University of Białystok, 15-054 Białystok, PolandPeripheral artery disease (PAD) is an atherosclerotic disease that causes obstruction in lower limb arteries. It increases cardiovascular risk even in asymptomatic patients. Accurate diagnostic tools for identification of affected individuals are needed. Recently, there have been attempts to establish a reliable method of automated ankle-brachial index (ABI) identification. A search of PubMed database to identify studies assessing automatic ABI measurements in agreement with standard PAD diagnosis methods was conducted in December 2020. A total of 57 studies were analyzed in the review. The majority of analyzed studies found ABI measured by automatic oscillometric devices to be potentially feasible for use. Some note that, even though the Doppler and oscillometric methods are not fully interchangeable, the oscillometric devices could be used in screening. Significantly fewer publications are available on automatic plethysmographic devices. For photoplethysmography, most studies reported either good or moderate agreement with reference standards. For air plethysmography, poorer agreement with Doppler ABI is suggested. It is noted that pulse volume recording (PVR) function may improve the diagnostic accuracy of the devices.https://www.mdpi.com/2077-0383/10/21/5161peripheral artery diseaseankle-brachial indexautomated ABI measurementplethysmographic ABIoscillometric ABI |
spellingShingle | Aleksandra Danieluk Sławomir Chlabicz Automated Measurements of Ankle-Brachial Index: A Narrative Review Journal of Clinical Medicine peripheral artery disease ankle-brachial index automated ABI measurement plethysmographic ABI oscillometric ABI |
title | Automated Measurements of Ankle-Brachial Index: A Narrative Review |
title_full | Automated Measurements of Ankle-Brachial Index: A Narrative Review |
title_fullStr | Automated Measurements of Ankle-Brachial Index: A Narrative Review |
title_full_unstemmed | Automated Measurements of Ankle-Brachial Index: A Narrative Review |
title_short | Automated Measurements of Ankle-Brachial Index: A Narrative Review |
title_sort | automated measurements of ankle brachial index a narrative review |
topic | peripheral artery disease ankle-brachial index automated ABI measurement plethysmographic ABI oscillometric ABI |
url | https://www.mdpi.com/2077-0383/10/21/5161 |
work_keys_str_mv | AT aleksandradanieluk automatedmeasurementsofanklebrachialindexanarrativereview AT sławomirchlabicz automatedmeasurementsofanklebrachialindexanarrativereview |