scholarly journals The ankle-brachial index value in patients with purulent-necrotic complications of diabetic foot syndrome

2019 ◽  
Vol 41 part 2 (2) ◽  
pp. 59-61
Author(s):  
B. O. Matviychuk ◽  
V. S. Zaremba ◽  
N. R. Fedchyshyn ◽  
O. P. Tsymbala
Keyword(s):  
Lower Limb ◽  
Diabetic Foot ◽  
Ankle Brachial Index ◽  
Arterial Occlusion ◽  
Predictive Marker ◽  
Arterial Disease ◽  
Actual Problem ◽  
Definition Of ◽  
Peripheral Arterial ◽  
Index Value

Diabetes and predetermined him heavy purulent-necrotic complications is actual problem medicine today’s. It is proved that patients with diabetes have big risk to development of heart-vessel disease due to the development of atherosclerosis. Standard of diagnosis peripheral arterial disease of lower limb is finding ankle-brachia index (ABI). This method is good at definition of degree of arterial occlusion. Purpose of the study. Purpose of the work: to analyse the diagnostic capability of ABI in patients who have purulent-necrotic complications of diabetic foot. Material and methods. The prospective studies covered 218 patients. The average patients age 54,2 ± 10,3years, 45,5% of them – men. The mild form of disease was in 33,2%, moderate severity – in 45,2%, severe – in 21,6%. The duration of purulent-necrotic complications was 11,5 ± 1,2 days. Results. We have seen that 128 patients have different degrees of macroangiopathy. in patients who performed amputation at the level of the thigh of ABI was 0,41 ± 0,13; at the level of the leg – 0,59 ± 0,12. Conclusion. 1. Timely diagnosis is the basis of effective treatment of purulent necrotic complications of diabetic foot. 2. In treatment, it is necessary to take into account the indicators of ABI as the main diagnostic marker of peripheral artery disease of lower limb. 3. Definition of ABI is an objective and valuable predictive marker. Keywords: diabetic food, purulent-necrotic complications, diabetes, ankle-brachia index.

scholarly journals The accuracy of toe brachial index and ankle brachial index in the diagnosis of lower limb peripheral arterial disease: A systematic review and meta-analysis

2020 ◽  
Vol 315 ◽  
pp. 81-92
Author(s):  
Ángel Herraiz-Adillo ◽  
Iván Cavero-Redondo ◽  
Celia Álvarez-Bueno ◽  
Diana P. Pozuelo-Carrascosa ◽  
Montserrat Solera-Martínez
Keyword(s):  
Systematic Review ◽  
Peripheral Arterial Disease ◽  
Lower Limb ◽  
Meta Analysis ◽  
Ankle Brachial Index ◽  
Arterial Disease ◽  
Toe Brachial Index ◽  
Peripheral Arterial

scholarly journals The accuracy of an oscillometric ankle-brachial index in the diagnosis of lower limb peripheral arterial disease: A systematic review and meta-analysis

2017 ◽  
Vol 71 (9) ◽  
pp. e12994 ◽  
Author(s):  
Ángel Herráiz-Adillo ◽  
Iván Cavero-Redondo ◽  
Celia Álvarez-Bueno ◽  
Vicente Martínez-Vizcaíno ◽  
Diana P. Pozuelo-Carrascosa ◽  
...  
Keyword(s):  
Systematic Review ◽  
Peripheral Arterial Disease ◽  
Lower Limb ◽  
Meta Analysis ◽  
Ankle Brachial Index ◽  
Arterial Disease ◽  
Peripheral Arterial

Claudication as an ‘Orphan Disease’: Rationale and Goals of Drug Therapy for Peripheral Arterial Disease

1996 ◽  
Vol 1 (1) ◽  
pp. 37-42 ◽  
Author(s):  
Alan T Hirsch
Keyword(s):  
Peripheral Arterial Disease ◽  
Disease Progression ◽  
Critical Role ◽  
Ankle Brachial Index ◽  
Arterial Occlusion ◽  
Limb Ischemia ◽  
Arterial Disease ◽  
Current Data ◽  
History Of ◽  
Peripheral Arterial

Patients with peripheral arterial disease are often perceived to suffer from a disorder whose pathogenesis and symptoms are not amenable to drug therapies. This clinical misperception remains prevalent despite an abundance of data suggesting that diverse pharmacotherapies may modulate the natural history of this disease. Patients with chronic limb arterial occlusive disease suffer from a disease that is characterized by: (1) a prolonged asymptomatic state that can be identified by simple physical examination and confirmed by measurement of the ankle brachial index; (2) a multi-year period of symptomatic claudication; and (3) a variable rate of progression to critical limb ischemia or acute arterial occlusion. This stage-dependent disease progression is mediated via the dynamic, but as yet incompletely understood, interaction of factors that elicit endothelial dysfunction, atherogenesis, and thrombosis. Current data suggest that each of these contributory disease processes can be modulated by extant pharmacotherapies. Additionally, many novel pharmacotherapeutic agents that are currently under investigation may further improve the ability of clinicians to modulate these fundamental biologic processes. Pharmacologic therapies should be targeted to decrease the rate of limb arterial disease progression, to improve limiting symptoms, and to prolong life. Symptoms of claudication can be objectively assessed via both exercise testing and disease-specific questionnaires. The presence of lower extremity atherosclerotic disease is predictive of the presence of coronary heart disease and a foreshortened five-year survival. Current data suggest that clinical investigations should be able to effectively stratify this relative risk via use of both clinical variables (e.g., age, diabetes mellitus, tobacco use, etc.) or by measurement of the ankle brachial index (ABI). The role of the physician is to decrease suffering and to prolong life. Judicious administration of medical therapies can play a critical role in helping the vascular practitioner accomplish these goals.

scholarly journals KORELASI ANTARA NILAI ANKLE BRACHIAL INDEX DENGAN DERAJAT KAKI DIABETES KLASIFIKASI WAGNER DI RSUP DR M.DJAMIL PADANG

2015 ◽  
Vol 38 (3) ◽  
pp. 181
Author(s):  
Rahmat Taufik ◽  
Raflis Rustam ◽  
Vendry Rivaldy ◽  
Hafni Bachtiar
Keyword(s):  
Diabetic Foot ◽  
Ankle Brachial Index ◽  
Arterial Disease ◽  
Epidemic Disease ◽  
Cross Sectional ◽  
Global Epidemic ◽  
Inferior Extremity ◽  
Invasive Method ◽  
Cross Sectional Design ◽  
Peripheral Arterial

AbstrakDiabetes Mellitus merupakan penyakit yang merupakan epidemi global dan menyumbang angka kematian tertinggi di dunia. Salah satu komplikasi diabetes adalah penyakit arteri perifer (PAP), suatu kondisi yang ditandai oleh penyumbatan dalam arteri ekstremitas inferior. Tingkat keparahan PAP dapat diperiksa dengan modalitas pemeriksaan non-invasif seperti pemeriksaan ABI (ante brachial index). Derajat keparahan kaki diabetes dapat di kategorikan berdasarkan klasifikasi Wagner. Penelitian ini bertujuan untuk mengetahui korelasi antara nilai ABI dengan derajat keparahan kaki diabetik klasifikasi Wagner pasien di RS M Djamil Padang. Dengan metode survei analitik desain cross sectional, pada pasien dengan kaki diabetik dilakukan pemeriksaan ABI dan pemeriksaan derajat kaki diabetik klasifikasi Wagner. Data kemudian dianalisis dengan menggunakan uji non-parametrik dengan tingkat kepercayaan 95%. Signifikansi dari hasil tes ditentukan oleh nilai p <0,05. Dari total 48 sampel diperoleh bahwa nilai ABI adalah obstruksi ringan pada 23 orang (47,92%), dan sebagian besar pasien kaki diabetes klasifikasi Wagner adalah derajat 1 sebanyak 17 (35,42%). Uji statistik menemukan hubungan yang signifikan antara nilai ABI dengan derajat kaki diabetik klasifikasi Wagner (p = 0,000). Dapat disimpulkan, terdapat hubungan yang signifikan antara nilai ABI dengan derajat kaki diabetik klasifikasi Wagner di RSUP Dr M. Djamil Padang.ABSTRACTDiabetes Mellitus is a global epidemic disease and accounts for the highest mortality rate in the world. One of its complications is Peripheral Arterial Disease (PAP) which characterized by blockages in the arteries of inferior extremity. The severity of PAP can be detected and determined by a non-invasive method namely ABI (ante brachial index). The degree of severity of diabetic foot can be classified into several categories based on Wagner classifications. This study aimed to determine the correlation between the values of ABI with the degree of Wagner classification-diabetic foot of patients in M Djamil Padang hospital. Analytical survey with cross sectional design has been done. The variables needed were measured and analysed with a non-parametric test with a 95% confidence level to determine the relationships between variables. Of 48 samples, 23 people (47.92%) were having mild obstruction of ABI values, and about one-third of the samples (35,42%) were having first degree of diabetic foot based on Wagner classification. Statistical analysis showed a significant correlation between ABI values and the degree of diabetic foot based on Wagner classification (p=0.000). To be concluded, there was a significant correlation between ABI values and the degree of Wagner classification-diabetic foot in M.Djamil Padang hospital.

scholarly journals Ankle-Brachial Index Is a Good Determinant of Lower Limb Muscular Strength but Not of the Gait Pattern in PAD Patients

Symmetry ◽  
2021 ◽  
Vol 13 (9) ◽  
pp. 1709
Author(s):  
Małgorzata Stefańska ◽  
Katarzyna Bulińska ◽  
Marek Woźniewski ◽  
Andrzej Szuba ◽  
Wioletta Dziubek
Keyword(s):  
Lower Limb ◽  
Ankle Brachial Index ◽  
Peak Torque ◽  
Arterial Disease ◽  
Gait Pattern ◽  
Lower Limbs ◽  
Kinematic Parameters ◽  
Lower Limb Muscles ◽  
Force Velocity ◽  
Peripheral Arterial

The aim of this study was to evaluate the relationship of the ankle-brachial index (ABI) level with kinetic and kinematic parameters of the gait pattern and force-velocity parameters generated by lower limb muscles. Methods: The study group consisted of 65 patients with peripheral arterial disease (PAD). The ABI value, kinetic and kinematic parameters of gait and force-velocity parameters of knee and ankle extensors and flexors were determined in all subjects. The values obtained for right and left limbs as well as the limbs with higher and lower ABI were compared. Results: Regardless of the method of analysis, the values of the gait’s kinematic and kinetic parameters of both lower limbs did not differ significantly. However, significant differences were noted in the values of peak torque, work and power of the extensor muscles of the knee and the flexor muscles of the ankle with the higher and lower ABI. Conclusion: This study demonstrated that a higher degree of ischemia worsened the level of strength, endurance, and performance of ankle flexors and extensors of the knee joint. ABI is not related to the gait pattern. The above-mentioned relationship should be taken into account in the rehabilitation process and methodological assessment.

scholarly journals Correlation of Ankle - Brachial Index (ABI) and Low - Density Lipoprotein (LDL) with Diabetic Foot Severity Degree

2020 ◽  
Vol 16 (1) ◽  
pp. 41
Author(s):  
Muhammad Ghaly Maulana ◽  
Nanang Miftah Fajari ◽  
Dewi Indah Noviana Pratiwi
Keyword(s):  
Logistic Regression ◽  
Diabetic Foot ◽  
Low Density Lipoprotein ◽  
Ankle Brachial Index ◽  
Density Lipoprotein ◽  
Arterial Disease ◽  
Cross Sectional ◽  
Peripheral Arterial ◽  
Spearman Test ◽  
Main Factor

Abstract: Diabetic foot is a complication of diabetes mellitus which is characterized by ulceration in the legs. The severity of the diabetic foot can be determined by the Wagner-Meggit system which in this study uses 5 categories namely degrees 1 - 5 degrees. ABI (Ankle-Brachial Index) is an evaluation of peripheral arterial disease in diabetic foot patients. LDL is the main factor of atherosclerosis which causes macrovascular disorders in diabetic foot. The purpose of this study was to determine the correlation between ABI and LDL on the severity of diabetic foot based on the Wagner-Meggit classification. The method used is observational analytic with cross sectional approach. A total of 35 samples were obtained by consecutive sampling. Data analysis was performed using the Spearman test and logistic regression. A significant correlation was obtained between ABI and the severity of diabetic foot (p = 0.06; r = -0.424), there was no correlation between LDL and the severity of diabetic foot (p = 0.09; r = -0.395). The results of logistic regression analysis found no correlation between ABI (p = 0.163; OR = 0.008) and LDL (p = 0.69; OR = 0.984) with the severity of the diabetic foot. Obtained Negelkerke R Square value of 0.095. Keywords: Diabetic foot, ABI, LDL, Wagner-Meggit classification

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