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What does a high ankle-brachial index mean? An ABI ratio higher than 1.4 could mean the blood vessels in your limbs are stiff because of advanced age or diabetes. Researchers have found that people with an ankle-brachial index higher than 1.4 had twice the risk of cardiovascular death.
Normal cut-off values for ABI are between 0.9 and 1.4. An abnormal ankle-brachial index- below 0.9-is a powerful independent marker of cardiovascular risk.
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.
INTERPRETATION OF ABI RESULTS 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.
Interpreting the Ankle Brachial Index ABI ValueInterpretationRecommendation1.0-1.4NormalNone0.9-1.0AcceptableNone0.8-0.9Some Arterial DiseaseTreat risk factors0.5-0.8Moderate Arterial DiseaseRefer to vascular specialist2 more rows
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Normal cut-off values for ABI are between 0.9 and 1.4. An abnormal ankle-brachial index- below 0.9-is a powerful independent marker of cardiovascular risk.
The flow of testing to perform when an ABI falls outside of the normal range follows this simple algorithm: If an ABI is greater than 1.4, obtain a TBI. If an ABI is between 0.91.4, youre either done or perform exercise ABIs.
A Doppler ultrasound uses sound waves to produce images that highlight blood flow in the leg arteries. This test detects and evaluates any blockages caused by plaque buildup.

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