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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Main Authors: Aleksandra Danieluk, Sławomir Chlabicz
Format: Article
Language:English
Published: MDPI AG 2021-11-01
Series:Journal of Clinical Medicine
Subjects:
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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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