ABI Flashcards

1
Q

When we use ABI

A
  • identification of PAD
  • Monitoring of the progression of the disease
    -Surveillance of disease after intervention such as surgical bypass
    -
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2
Q

what is the principle of an intervention

A
  • pharmacotherapy
  • exercise
    -risk factor modification
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3
Q

what are other assessment of arterial disease

A

-TBI, Doppler waves form analysis, pulse volume recording, doppler ultrasound recording, magnetic resonance angiography

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4
Q

what data ABI provides

A
  • gives functional information about arteries of lower limb
  • do not provide anatomical information
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5
Q

Why ABI is widely used in community

A
  • it is none invasive
  • reproduceable
  • quick
  • inexpensive
  • results are easily interpreted
  • assess entire arterial tree
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6
Q

what are ABI limitation

A
  • cannot define the degree of occlusion or location of the stenosis
  • prone to measurment errors
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7
Q

How does a Calcified ankle artery cause falsely elevated ABI or incompressible artery

A
  • This happens when 250mmhg of pressure is applied bu the pressure cuff and pulse is still heard
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8
Q

How to preform ABI

A
  • Ptient must lie supine, both feet and arm are at the same level. This is because to overcome the gravity
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9
Q

if a patient have a flasely elevated ABI, what is the alternetive

A
  • TBI measurement is more reliable, this is becuase the digital artery of toes are less likely to be calcified than Tibial arteries
  • Normal TBI range is 0.6
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10
Q

When to use PPG test

A
  • it is used to predict the lilkelyhood of healing when ulceration is present
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11
Q

what are the limitation of PPG test

A
  • Tempreture variation
  • PPGressure
  • Light
  • Movment
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