Topalusić Iva, Valpotić Ina, Marković Asja Stipić
Odjel za klinicku imunologiju, reumatologiju i pulmologiju, Medicinskog fakulteta Sveucilista u Zagrebu, Klinicka bolnica Sveti Duh, Zagreb, Hrvatska.
Acta Med Croatica. 2012 Oct;66(4):311-3.
Peripheral arterial occlusive disease is very common in the general population and it is mostly of atherosclerotic origin. About 50%-75% of patients are asymptomatic. Many studies have shown the ankle-brachial pressure index (ABPI) to be a simple and reliable test with high sensitivity (90%) and specificity (98%) in the diagnosis of hemodynamically relevant stenosis of an arterial segment and also in detection of asymptomatic patients. The values of ABPI < 0.90 suggest widespread atherosclerosis, while the ABPI > 1.40 is associated with arterial calcification and wall stiffening. This test is highly specific (92.7%) in predicting future cardiovascular and cerebrovascular risk and could provide a tool for more focused prevention strategies.
外周动脉闭塞性疾病在普通人群中非常常见，且大多起源于动脉粥样硬化。约50%-75%的患者无症状。许多研究表明，踝臂指数（ABPI）是一种简单可靠的检查，在诊断动脉节段血流动力学相关狭窄以及检测无症状患者方面具有高灵敏度（90%）和特异性（98%）。ABPI<0.90提示广泛动脉粥样硬化，而ABPI>1.40与动脉钙化和血管壁硬化有关。该检查在预测未来心血管和脑血管风险方面具有高度特异性（92.7%），可为更有针对性的预防策略提供一种工具。
