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Heart Center

Ankle-brachial Index (ABI) Test

Today’s scientific studies reveal that Atherosclerosis occurs in childhood and worsens and a person ages. The disease can be found In 12% of adults, and the proportion rises with advancing age to as much as 20-30% in people over 75 years old, and 50-60% in those older than 85.

In addition, the chance of detecting the disease increases if there are some risk factors, such as smoking, diabetes, high cholesterol level and high blood pressure. For example, 30% of patients with diabetes are found to have Atherosclerosis- that is, one in every 3-4 diabetes patients tested is found to have Atherosclerosis. There is no doubt that every single one of us longs for longevity, with neither illness nor pain. However, this Atherosclerosis may prevent us from fulfilling this wish. First of all, restriction of blood flow to the muscles of the legs and feet causes pains in the legs. In the early stages of the condition, the pains occur when exercising; however, the condition will worsen, causing pains even while resting. Some patients with more advanced atherosclerosis may experience pains or gangrene in their feet, sometimes requiring the removal of those parts. Another reason is what follows Atherosclerosis, the shorter life span.

25% ( or one in every 4) of the patients with advanced atherosclerosis die of heart diseases every year. From scientific data, we know that symptoms in 75% of the patients cannot be observed whereas the rest 25% experience leg and hip pain while walking. As a doctor’s inquiry about symptoms, even accompanied with preliminary examination, is not sufficiently accurate, a test performed by a device is needed to compare the systolic pressure level at the ankle with that in the arm. The result obtained is called Ankle-brachial Index (ABI). The ABI was used to detect atherosclerosis at its early stage, and nowadays has become the standard, as it is fast and reliable. In this connection, it is also notable that new models of ABI test devices are even more efficient than ever.