ArticleHypertension research : official journal of the Japanese Society of Hypertension2016
Automated plethysmographic measurement of the ankle-brachial index: a comparison with the doppler ultrasound method.
Article in Hypertension research : official journal of the Japanese Society of Hypertension, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.
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Who cites it
9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.
- Automated devices for identifying peripheral arterial disease in people with leg ulceration: an evidence synthesis and cost-effectiveness analysis.Health technology assessment (Winchester, England) · 2024Pooled it
- The reliability of the ankle brachial index: a systematic review.Journal of foot and ankle research · 2019Pooled it
- Assessing Automatic Plethysmographic Ankle-Brachial Index Devices in Peripheral Artery Disease Detection: A Comparative Study with Doppler Ankle-Brachial Index Measurements.Medical science monitor : international medical journal of experimental and clinical research · 2023Article
- Are portable ankle brachial pressure index measurement devices suitable for hypertension screening?PloS one · 2023Article
- Automated Measurements of Ankle-Brachial Index: A Narrative Review.Journal of clinical medicine · 2021Review
- Atrial fibrillation influences automatic oscillometric ankle-brachial index measurement.Archives of medical science : AMS · 2021Article
- Comparison of the ankle-brachial index with parameters of stiffness and peripheral arterial resistance assessed by photoplethysmography in elderly patients.Jornal vascular brasileiro · 2019Article
- Clinical significance of an elevated ankle-brachial index differs depending on the amount of appendicular muscle mass: the J-SHIPP and Nagahama studies.Hypertension research : official journal of the Japanese Society of Hypertension · 2018Article
- Non-invasive assessment of peripheral arterial disease: Automated ankle brachial index measurement and pulse volume analysis compared to duplex scan.SAGE open medicine · 2016Article
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The ankle-brachial index is widely regarded as a pivotal tool for the diagnosis and quantification of peripheral arterial disease. It is, however, plagued by issues relating to its time consuming nature and the skills required to undertake its measurement using the gold standard Doppler ultrasound method. Automated ankle-brachial index measurement devices aim to address such issues; this study aimed to compare the performance of such a device with the Doppler method. Three hundred and eighty participants, with risk factors for cardiovascular disease (mean age: 64, 57% male), underwent ankle-brachial index measurement firstly with a plethysmographic device followed by the Doppler method. The mean difference between the two methods was 0.016±0.1, 95% limits of agreement:±0.2. Sensitivity for detection of peripheral arterial disease, as defined by Doppler ankle-brachial index⩽0.9, was 70%, specificity 96%, accuracy 94%. A receiver operating curve revealed an area under the curve of.96, with a 1.04 plethysmographic ankle-brachial index cutoff for optimal sensitivity (98%) and specificity (75%). Automated measurements were significantly faster than Doppler measurements (7 min 55 s vs. 17 min 45 s, respectively, P <0.01). Although is it unclear if the plethysmographic device has sufficient diagnostic accuracy to be used as a stand alone test for the diagnosis of peripheral arterial disease, it is concluded that it can be used as a fast and amenable method of identifying people who require further arterial assessment; the higher cutoff point of 1.04 should be used for this purpose.
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