Takaisin Tulosta

Nilkka-olkavarsipaineen suhde (ABI)

Lisätietoa aiheesta
Ilkka Kantola ja Ilkka Pörsti
10.9.2020

ABI mitataan yleensä olkavarren ja nilkan systolisesta painetasosta normaalia verenpainemansettia ja verisuonidopplerlaitetta käyttäen. Tulos < 0,9 viittaa perifeeriseen valtimotautiin ja yleensä myös pitkälle edenneeseen ateroskleroosiin «Laurent S, Boutouyrie P, Asmar R ym. Aortic stiffn...»1.

Myös oireettomilla normaalia matalampi ABI ennustaa lisääntynyttä sepelvaltimotaudin, sydäninfarktin, sydämen vajaatoiminnan ja aivohalvauksen riskiä sekä sepelvaltimotoimenpiteiden ja tulevien verisuonikirurgisten toimenpiteiden tarvetta «Criqui MH, Langer RD, Fronek A ym. Mortality over ...»2, «McKenna M, Wolfson S, Kuller L. The ratio of ankle...»3, «Vogt MT, Cauley JA, Newman AB ym. Decreased ankle/...»4, «Hiatt WR. Medical treatment of peripheral arterial...»5, «Vogt MT, McKenna M, Anderson SJ ym. The relationsh...»6, «Fan H, Hu X, Yu W ym. Low ankle-brachial index and...»7, «Ankle Brachial Index Collaboration, Fowkes FG, Mur...»8, «Heald CL, Fowkes FG, Murray GD ym. Risk of mortali...»9, «Ankle Brachial Index Collaboration., Fowkes FG, Mu...»10, «De Buyzere ML, Clement DL. Management of hypertens...»11.

Kirjallisuutta

  1. Laurent S, Boutouyrie P, Asmar R ym. Aortic stiffness is an independent predictor of all-cause and cardiovascular mortality in hypertensive patients. Hypertension 2001;37:1236-41 «PMID: 11358934»PubMed
  2. Criqui MH, Langer RD, Fronek A ym. Mortality over a period of 10 years in patients with peripheral arterial disease. N Engl J Med 1992;326:381-6 «PMID: 1729621»PubMed
  3. McKenna M, Wolfson S, Kuller L. The ratio of ankle and arm arterial pressure as an independent predictor of mortality. Atherosclerosis 1991;87:119-28 «PMID: 1854359»PubMed
  4. Vogt MT, Cauley JA, Newman AB ym. Decreased ankle/arm blood pressure index and mortality in elderly women. JAMA 1993;270:465-9 «PMID: 8320785»PubMed
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  6. Vogt MT, McKenna M, Anderson SJ ym. The relationship between ankle-arm index and mortality in older men and women. J Am Geriatr Soc 1993;41:523-30 «PMID: 8486886»PubMed
  7. Fan H, Hu X, Yu W ym. Low ankle-brachial index and risk of stroke. Atherosclerosis 2013;229:317-23 «PMID: 23880182»PubMed
  8. Ankle Brachial Index Collaboration, Fowkes FG, Murray GD ym. Ankle brachial index combined with Framingham Risk Score to predict cardiovascular events and mortality: a meta-analysis. JAMA 2008;300:197-208 «PMID: 18612117»PubMed
  9. Heald CL, Fowkes FG, Murray GD ym. Risk of mortality and cardiovascular disease associated with the ankle-brachial index: Systematic review. Atherosclerosis 2006;189:61-9 «PMID: 16620828»PubMed
  10. Ankle Brachial Index Collaboration., Fowkes FG, Murray GD ym. Ankle brachial index combined with Framingham Risk Score to predict cardiovascular events and mortality: a meta-analysis. JAMA 2008;300:197-208 «PMID: 18612117»PubMed
  11. De Buyzere ML, Clement DL. Management of hypertension in peripheral arterial disease. Prog Cardiovasc Dis 2008;50:238-63 «PMID: 18156004»PubMed