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The ankle-brachial index test is a quick, simple way to check for peripheral artery disease (PAD). The disease occurs when narrowed arteries reduce the blood flow to the arms and legs. PAD can cause leg pain when walking.
The ABI is performed by measuring the systolic blood pressure from both brachial arteries and from both the dorsalis pedis and posterior tibial arteries after the patient has been at rest in the supine position for 10 minutes. The systolic pressures are recorded with a handheld 5- or 10-mHz Doppler instrument.
If the ABI is less than 0.8, sustained, high compression (i.e., 30\u201340 mmHg at the ankle) is not recommended. 2. In mixed venous/arterial disease (i.e., ABI is > 0.5 to < 0.8), reduced compression levels (i.e., 23\u201330 mmHg) are advised.
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.
Normal cut-off values for ABI, adopted by most studies and by the accepted guidelines of cardiology societies are between 0.9 (0.85) and 1.4 (2). An abnormal ankle-brachial index below 0.9 is a powerful independent marker of cardiovascular risk.
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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.
In computer software, an application binary interface (ABI) is an interface between two binary program modules. Often, one of these modules is a library or operating system facility, and the other is a program that is being run by a user.
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.
A normal ABI value is 1.10 to 1.40. This is because among individuals without PAD, lower extremity arterial pressures increase with greater distance from the heart, due to increasing impedance with increasing arterial taper, resulting in higher systolic pressures at the ankle compared with the brachial arteries.
The ankle-brachial index test compares the blood pressure measured at the ankle with the blood pressure measured at the arm. A low ankle-brachial index number can indicate narrowing or blockage of the arteries in the legs. Ankle-brachial index testing might be done before and right after walking on a treadmill.

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