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Example demonstrating how to calculate and interpret ABI ratios. Lets say that you have a patient whose highest right ankle pressure is 139 mmHg and their highest overall brachial pressure is 126 mmHg. The right ABI ratio is calculated by dividing 139 mmHg by 126 mmHg, which equals 1.10 (a normal ABI).
Interpreting the Ankle Brachial Index Values above 1.4 suggest a noncompressible calcified vessel. In diabetic or elderly patients, the limb vessels may be fibrotic or calcified.
The ankle-brachial pressure index (ABPI) is a non-invasive method for detecting or ruling-out the presence of peripheral artery disease. ABPI is a calculation of the ratio of the patients systolic blood pressure at their ankle to the systolic pressure in their arm.
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.
If your ABI is 0.9 or lower, you have PAD. You should make an appointment with a vascular medicine specialist. A low ankle-brachial index means you have a higher risk of: Heart attack.
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