Study of the Efficacy of Automated Oscillometry in Evaluating Ankle-Brachial Index for the Assessment of Peripheral Arterial Disease in Diabetes Mellitus

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dc.contributor.authorGupta, Abhinaven_US
dc.contributor.authorGupta, Varunen_US
dc.contributor.authorKudyar, RPen_US
dc.contributor.authorGupta, Anil Ken_US
dc.date.accessioned2020-10-16T09:00:52Z
dc.date.available2020-10-16T09:00:52Z
dc.date.issued2019-10
dc.description.abstractPeripheral arterial disease (PAD) is defined as a clinical disorder in which there is stenosis or occlusion in the aorta orarteries of the limbs. Type 2 diabetes is a strong risk factor for atherosclerotic diseases including cardiovascular aswell as peripheral arteries. The risk of development of peripheral arterial disease increases three to four folds inpatients with diabetes.Most diabetic amputations are due to peripheral arterial disease (PAD), peripheral neuropathyand infection. Ankle-brachial index is helpful in assessing the prognosis in the symptomatic as well as asymptomaticpatients in contrast to the variability of pulse assessment and the physical examination. The present study included50 patients with diabetes mellitus for more than ten years, irrespective of their symptoms. ABI was calculated bydividing the ankle systolic blood pressure by the brachial systolic blood pressure of the respective sides. The lowerof the two ABI values for the legs was used to define ankle brachial index. Of 50 patients, 20 had signs of PAD amongwhom 11 (55.0%) had abnormal ABI and 9 (45.0%) had normal ABI. Out of 30 patients with no signs of PAD, 8 (26.7%)had abnormal ABI and 22 (73.3%) had normal ABI. Automated oscillometry method for evaluating ankle-brachialindex for the assessment of peripheral arterial disease in diabetes mellitus had a sensitivity of 68.18%, a specificity of85.71%, positive predictive value (PPV) of 78.95% and negative predictive value (NPV) of 77.42%. The Accuracy ofthe test was 78.0%. Thus, our study has proved that the oscillometric method of ABI is a very useful procedure fordetecting PAD. By repeating the test the sensitivity and specificity may probably increase. The oscillometric methodof performing ABI is a simple procedure, automated, easy to perform, negligible cost of the instrument, does notrequire training and can be performed as an outpatient procedure.en_US
dc.identifier.affiliationsDepartment of General Medicine, ASCOMS, Jammu, Jammu and Kashmir- Indiaen_US
dc.identifier.citationGupta Abhinav, Gupta Varun, Kudyar RP, Gupta Anil K. Study of the Efficacy of Automated Oscillometry in Evaluating Ankle-Brachial Index for the Assessment of Peripheral Arterial Disease in Diabetes Mellitus. JK Science Journal of Medical Education and Research. 2019 Oct; 2019 Oct: 186-192en_US
dc.identifier.issn0972-1177
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/210993
dc.languageenen_US
dc.publisherJK Scienceen_US
dc.relation.issuenumber4en_US
dc.relation.volume21en_US
dc.source.urihttps://www.jkscience.org/archives/volume2020/10-%20Origina%20Articl186Abhinav.pdfen_US
dc.subjectAnkle-Brachial Indexen_US
dc.subjectDabetes mellitusen_US
dc.subjectPeripheral arterial diseaseen_US
dc.subjectBlood pressureen_US
dc.subjectAtheroslerosis.en_US
dc.titleStudy of the Efficacy of Automated Oscillometry in Evaluating Ankle-Brachial Index for the Assessment of Peripheral Arterial Disease in Diabetes Mellitusen_US
dc.typeJournal Articleen_US
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