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ABI

ANKLE-BRACHIAL INDEX TEST


What is an Ankle-Brachial Index (ABI)?

The ankle-brachial index (ABI) is used to predict the severity of peripheral arterial disease (PAD). This test is done by measuring blood pressure at the ankle and in the arm while a person is at rest. A slight drop in your ABI means that you probably have PAD. This drop may be important, because PAD can be linked to a higher risk of heart attack or stroke.


Why It Is Done

This test is done to check for peripheral arterial disease of the legs. It is also used to see how well a treatment is working (such as medical treatment, an exercise program, angioplasty, or surgery).

This test might be done to check your risk of heart attack and stroke. The results can help you and your doctor make decisions about how to lower your risk.




Results

Normal and Abnormal Values

A normal resting ankle-brachial index is 1.0 to 1.4. This means that your blood pressure at your ankle is the same or greater than the pressure at your arm, and suggests that you do not have significant narrowing or blockage of blood flow.

Abnormal values for the resting ankle-brachial index are 0.9 or lower and 1.40 or higher. If the ABI is 0.91 to 1.00, it is considered borderline abnormal.

Abnormal values might mean you have a higher chance of having narrowed arteries in other parts of your body. This can increase your risk of a heart attack or stroke.



What to Think About

An abnormal ABI test result may require more testing to determine the location and severity of PAD that might be present.

You may experience leg pain during the test if you have peripheral arterial disease (PAD).


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