Ankle brachial index 2025

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The patient is diagnosed with PAD when the ABI is 0.9 [2,19]. PAD is graded as mild to moderate if the ABI is between 0.4 and 0.9, and an ABI less than 0.40 is suggestive of severe PAD [19]. An ABI value greater than 1.3 is also considered abnormal, suggestive of non-compressible vessels.
An ABI ratio above 0.90 is normal, 0.71-0.90 indicates mild obstruction, 0.41-0.70 indicates moderate obstruction, and
Each range of ratios is correlated with a level of risk of having PAD. A normal ABI range is from 0.9-1.4. A person with a mild-to-moderate risk of PAD has an ABI between 0.7-0.9. Someone with severe PAD could have an ABI between 0.3-0.5. Critical cases have ABI ratios of 0.3 or less.
To calculate the ankle-brachial index, take the higher of your two systolic (top number) blood pressures from your two ankle arteries and divide that by the higher systolic blood pressure from your two arm readings. Some people use an average of each pair of readings instead of the higher number.
An ABPI of 0.9 is normal, whereas patients with moderate to severe arterial disease have an ABPI that is between 0.5 and 0.8. These patients should be excluded from high-compression bandage therapy since its use could lead to further ulcer complications or even limb amputation.
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This means the patient is at high-risk for heart attack or stroke, kidney disease, and/or high blood pressure. If a patients ABI is 1.4 or higher, this means the blood vessels in the patients limbs are hardening because of age or diabetes.
Health care providers calculate ABI by dividing the blood pressure in an artery of the ankle by the blood pressure in an artery of the arm. The result is the ABI. If this ratio is less than 0.9, it may mean that a person has peripheral artery disease (PAD) in the blood vessels in his or her legs.

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