The importance of obtaining ankle-brachial indexes in older adults: The other vital sign

Lawson, Glenda

doi:10.1016/j.jvn.2005.04.001

Cited by 8 publications

(5 citation statements)

References 16 publications

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“…Our findings support the belief that there is room for improvement, and indicate the need for increased physician and patient awareness for the early detection of PAD so that prevention and treatment can be more effective and beneficial. [46][47][48][49] These findings also stress the need for RFMCs to provide aggressive, titrated medical treatment, tailored to individual patients, in order to prevent vascular events, and improve symptomatology in PAD patients. We are currently investigating whether referral to the RFMC made a difference in the overall management of this high-risk population.…”

Section: Discussionmentioning

confidence: 91%

“…52,53 As most PAD patients are asymptomatic, screening should be routine practice at the primary care level. 32,[46][47][48] Given the overwhelming evidence on the known benefits of cardioprotective medications, their underuse is puzzling in a population at high risk. 32,54 Increased awareness will overcome this barrier to effective secondary prevention of vascular events.…”

Section: Resultsmentioning

confidence: 99%

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Association Between Ankle - Brachial Index and Risk Factor Profile in Patients Newly Diagnosed With Intermittent Claudication

Daskalopoulou

Pathmarajah

Kakkos

et al. 2008

Circ J

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Section: Discussionmentioning

confidence: 91%

Section: Resultsmentioning

confidence: 99%

Association Between Ankle - Brachial Index and Risk Factor Profile in Patients Newly Diagnosed With Intermittent Claudication

Daskalopoulou

Pathmarajah

Kakkos

et al. 2008

Circ J

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“…Patients with abnormal ABI findings should be referred for vascular laboratory evaluation (Lawson, 2005). Further evaluation and confirmation of a PAD diagnosis by the physician may include various diagnostic studies.…”

Section: Ankle-brachial Indexmentioning

confidence: 99%

“…The completion steps include removing the gel and cuffs, positioning the patient for comfort, and cleaning equipment before storage (Bonham, 2006;Cantwell-Gab, 1996;Lawson, 2005;Rice, 2005). Remove socks, shoes, and restrictive clothing and allow patient to rest for at least 5 minutes in a supine position with feet externally rotated and covered to maintain warm temperature.…”

Section: Abi Proceduresmentioning

confidence: 99%

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Peripheral Arterial Disease and the Ankle-Brachial Index

Asongwed

Chesbro

Karavatas

2009

Home Healthcare Nurse

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Registered nurses and physical therapists working in home healthcare are ideally situated to identify individuals with undiagnosed peripheral arterial disease (PAD). This article focuses on identifying PAD in the lower extremities. The purpose of this continuing education article is to assist the reader in recognizing the role of the home healthcare clinician in identifying and managing PAD. At completion of this module, participants will be able to identify key factors related to PAD, including use of the ankle-brachial index (ABI), and to identify individuals with the disease.

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Model-based cardiovascular disease diagnosis: a preliminary in-silico study

Nejad

Carey

McMurtry

et al. 2016

Biomech Model Mechanobiol

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In this study, we developed and examined the feasibility of a model-based system identification approach to cardiovascular disease diagnosis. The basic premise of the approach is that it may be possible to diagnose cardiovascular disease from disease-induced alterations in the arterial mechanical properties manifested in the proximal and distal arterial blood pressure waveforms. It first individualizes the lumped-parameter model of wave propagation and reflection in the artery using the measurement of proximal and distal arterial blood pressure waveforms. Then, it employs a diagnosis logic, in the form of disease-specific patterns in model parameters, referred as [Formula: see text] and pulse transit time. The longitudinal change in these parameters is used to diagnose the presence of peripheral artery disease and arterial stiffening. We illustrated the feasibility of the proposed approach by testing it in a full-scale in-silico arterial tree simulation. The results showed that the approach exhibited superior sensitivity to ankle-brachial index and convenience to carotid-femoral pulse wave velocity: The model parameters [Formula: see text] and [Formula: see text] responded with up to 100 and 40 % changes to peripheral artery disease with up to 50 % arterial blockage whereas the change in ankle-brachial index was [Formula: see text]; the same parameters responded with up to 300 and 40 % changes to up to 100 % arterial stiffening while pulse transit time changed by up to 24 %. Together with the development of more convenient techniques for the measurement of arterial blood pressure waveforms, the proposed approach may evolve into a viable alternative to the state-of-the-art techniques for cardiovascular disease diagnosis.

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The importance of obtaining ankle-brachial indexes in older adults: The other vital sign

Cited by 8 publications

References 16 publications

Association Between Ankle - Brachial Index and Risk Factor Profile in Patients Newly Diagnosed With Intermittent Claudication

Association Between Ankle - Brachial Index and Risk Factor Profile in Patients Newly Diagnosed With Intermittent Claudication

Peripheral Arterial Disease and the Ankle-Brachial Index

Model-based cardiovascular disease diagnosis: a preliminary in-silico study

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