Ankle Brachial Index

This study screens for hemodynamically significant disease of the lower extremities and helps define its severity. The patient is placed in a supine position, and brachial and ankle systolic pressures are obtained. The protocol involves taking routine bilateral upper extremity pressure readings. The higher of the systolic pressures is used to calculate the ABI. (A lower arm pressure may indicate PVD of that arm.) Next, the cuff is placed on the lower right calf. The Doppler (usually required because ankle blood pressure may be inaudible with a stethoscope) is placed behind the medial malleolus to obtain the posterior tibial (PT) systolic pressure and then placed on the top of the foot to obtain the dorsalis pedis (DP) systolic pressure. The ABI is calculated by dividing the highest ankle systolic pressure (DP or PT) by the highest systolic pressure from either arm. The process is then repeated on the left ankle.


The physicians at Columbus Cardiology Associates are dedicated to quality cardiovascular healthcare to our patients and the community we serve thru skilled talented staff, utilizing the most innovative technology. Please call our office at 706-323-5552 to schedule an appointment or if you have any questions.




 

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