Ankle-brachial index by automated method and renal function

Ricardo Pereira Silva, IamĂȘ Melo, Larissa Freire Nogueira, Isadora Lopes Bessa, Wandervania Gomes Nojosa, Saulo Aires Oliveira, Jedson Vieira Gomes Filho, Priscila Sousa

Abstract

Background
The ankle-brachial index (ABI) is a non-invasive method used for the diagnosis of peripheral arterial occlusive disease (PAOD).

Aims
To determine the clinical features of patients submitted to ABI measurement by automatic method. To investigate association between ABI and renal function.

Methods
The present is a cross-sectional study. The study was performed in a private clinic in the city of Fortaleza (Ce)-Brazil. For ABI analysis, we utilized automatic methodology using a Microlife device. Data collection took place from March 2012 to January 2016. During this period, ABI was measured in 375 patients aged >50 years, who had a diagnosis of hypertension, diabetes or vascular disease.

Results
Of the 375 patients, 18 were categorized as having abnormal ABI (4.8 per cent) and 357 were normal ABI (95.2 per cent). Patients with abnormal ABI showed older mean age when compared to patients with normal ABI. Among patients with normal renal function, only 0.95 per cent showed abnormal ABI; among patients with abnormal renal function, 6 per cent showed abnormal ABI.

Conclusion
  1. No differences were observed when comparing the groups regarding gender or the prevalence of hypertension, diabetes, dyslipidaemia or CAD.
  2. Group with abnormal ABI had renal function greater impairment.
Full Text: PDF