Indikasi Ankle Brachial Index

Oleh :

dr. Ghifara Huda SE AAAK

Indikasi pengukuran Ankle Brachial Index (ABI) berperan dalam hal skrining, penegakan diagnosis, pedoman terapi, hingga penentuan prognosis. Pengukuran ABI biasa digunakan pada kasus peripheral artery disease (PAD).[8-25,29]

Peripheral Artery Disease

American Heart Association (AHA) merekomendasikan pemeriksaan ABI pada pasien berisiko mengalami Peripheral Artery Disease (PAD), seperti klaudikasio intermiten. Kelompok pasien memiliki risiko PAD misalnya pasien usia >40 tahun, merokok, dan penderita diabetes mellitus. Sebanyak 6,5 juta orang berusia di atas 40 tahun diketahui menderita PAD berdasarkan studi di Amerika Serikat.[31,32]

Studi oleh Dachun Xu et al yang dilakukan pada 2034 pasien, mendapatkan hasil bahwa pemeriksaan ABI memiliki spesifitas sebesar 83,3–99,0% dan sensitivitas 72,1‒89,2% untuk mendiagnosis PAD.[31]

Referensi

1. Wound, Ostomy and Continence Nurses Society. Guideline for Management of Wounds in Patients with Lower-Extremity Venous Disease. Mt. Laurel, NJ: Author; 2011.
2. Azam M, Wehrle CJ, Shaw PM. StatPearls [Internet]. StatPearls Publishing; Treasure Island (FL): Aug 10, 2020. Anatomy, Bony Pelvis and Lower Limb, Tibial Artery.
3. Bains KNS, Lappin SL. StatPearls [Internet]. StatPearls Publishing; Treasure Island (FL): Apr 24, 2020. Anatomy, Shoulder and Upper Limb, Elbow Cubital Fossa.
4. Aboyans V, Criqui MH, Abraham P, Allison MA et al., American Heart Association Council on Peripheral Vascular Disease. Council on Epidemiology and Prevention. Council on Clinical Cardiology. Council on Cardiovascular Nursing. Council on Cardiovascular Radiology and Intervention, and Council on Cardiovascular Surgery and Anesthesia. Measurement and interpretation of the ankle-brachial index: a scientific statement from the American Heart Association. Circulation. 2012 Dec 11;126(24):2890-909.
8. Alizargar J, Bai CH. Value of the arterial stiffness index and ankle brachial index in subclinical atherosclerosis screening in healthy community-dwelling individuals. BMC Public Health. 2019 Jan 15;19(1):65.
9. Hong JB, Leonards CO, Endres M, Siegerink B, Liman TG. Ankle-Brachial Index and Recurrent Stroke Risk: Meta-Analysis. Stroke. 2016 Feb;47(2):317-22.
10. Crowell A, Meyr AJ. Accuracy of the Ankle-brachial Index in the Assessment of Arterial Perfusion of Heel Pressure Injuries. Wounds. 2017 Feb;29(2):51-55.
11. Brownrigg JR, Hinchliffe RJ, Apelqvist J, Boyko EJ, Fitridge R, Mills JL, Reekers J, Shearman CP, Zierler RE, Schaper NC., International Working Group on the Diabetic Foot. Performance of prognostic markers in the prediction of wound healing or amputation among patients with foot ulcers in diabetes: a systematic review. Diabetes Metab. Res. Rev. 2016 Jan;32 Suppl 1:128-35.
12. Reed GW, Young L, Bagh I, Maier M, Shishehbor MH. Hemodynamic Assessment Before and After Endovascular Therapy for Critical Limb Ischemia and Association With Clinical Outcomes. JACC Cardiovasc Interv. 2017 Dec 11;10(23):2451-2457.
13. Ko SH, Bandyk DF. Interpretation and significance of ankle-brachial systolic pressure index. Semin Vasc Surg. 2013 Jun-Sep;26(2-3):86-94.
14. Pardiwala DN, Rao NN, Anand K, Raut A. Knee Dislocations in Sports Injuries. Indian J Orthop. 2017 Sep-Oct;51(5):552-562.
15. Long B, April MD. What Is the Utility of Physical Examination, Ankle-Brachial Index, and Ultrasonography for the Diagnosis of Arterial Injury in Patients With Penetrating Extremity Trauma? Ann Emerg Med. 2018 Apr;71(4):525-528.
16. Medina O, Arom GA, Yeranosian MG, Petrigliano FA, McAllister DR. Vascular and nerve injury after knee dislocation: a systematic review. Clin. Orthop. Relat. Res. 2014 Sep;472(9):2621-9.
17. Wassel CL, Allison MA, Ix JH, Rifkin DE, Forbang NI, Denenberg JO, Criqui MH. Ankle-brachial index predicts change over time in functional status in the San Diego Population Study. J. Vasc. Surg. 2016 Sep;64(3):656-662.e1.
18. Lane R, Nguyen T, Cuzzilla M, Oomens D, Mohabbat W, Hazelton S. Functional popliteal entrapment syndrome in the sportsperson. Eur J Vasc Endovasc Surg. 2012 Jan;43(1):81-7.
19. Donnou C, Chaudru S, Stivalet O, Paul E, Charasson M, Selli JM, Mauger C, Chapron A, Le Faucheur A, Jaquinandi V, Mahé G. How to become proficient in performance of the resting ankle-brachial index: Results of the first randomized controlled trial. Vasc Med. 2018 Apr;23(2):109-113
20. Xu Y, Xu W, Wang A, Meng H, Wang Y, Liu S, Li R, Lu S, Peng J. Diagnosis and treatment of traumatic vascular injury of limbs in military and emergency medicine: A systematic review. Medicine (Baltimore). 2019 May;98(18):e15406.
21. Gibb MA, Edwards HE, Gardner GE. Scoping study into wound management nurse practitioner models of practice. Aust Health Rev. 2015 Apr;39(2):220-227.
22. Davies JH, Kenkre J, Williams EM. Current utility of the ankle-brachial index (ABI) in general practice: implications for its use in cardiovascular disease screening. BMC Fam Pract. 2014 Apr 17;15:69
25. Rac-Albu M, Iliuta L, Guberna SM, Sinescu C. The role of ankle-brachial index for predicting peripheral arterial disease. Maedica (Buchar). 2014 Sep;9(3):295-302.
28. Georgakarakos, Efstratios & Papadaki, Evaggelia & Vamvakerou, Vasileia & Lytras, Dimitrios & Tsiokani, Afroditi & Tsolakaki, Olympia & Chlimpou, Dimitra & Papanas, Nikolaos. (2013). Training to Measure Ankle-Brachial Index at the Undergraduate Level: Can It Be Successful?. The international journal of lower extremity wounds. 12. 10.1177/1534734613483768.
29. Perpetuini, D., Chiarelli, A. M., Cardone, D., Rinella, S., Massimino, S., Bianco, F., ... & Gallina, S. (2020). Photoplethysmographic Prediction of the Ankle-Brachial Pressure Index through a Machine Learning Approach. Applied Sciences, 10(6), 2137.
30. Singh, S., Bailey, K. R., & Kullo, I. J. (2013). Ethnic differences in ankle brachial index are present in middle-aged individuals without peripheral arterial disease. International journal of cardiology, 162(3), 228–233.
31. Xu, Dachun & Li, Jue & Zou, Liling & Xu, Yawei & Hu, Dayi & Pagoto, Sherry & Ma, Yunsheng. (2010). Sensitivity and specificity of the ankle-brachial index to diagnose peripheral artery disease: A structured review. Vascular medicine (London, England). 15. 361-9. 10.1177/1358863X10378376.
32. Virani SS, Alonso A, Benjamin EJ, Bittencourt MS, Callaway CW, Carson AP, et al. Heart disease and stroke statistics—2020 update: a report from the American Heart Association
34. The ankle brachial pressure index. https://bpac.org.nz/bpj/2014/april/docs/BPJ60-ankle-brachial.pdf

(Konten ini khusus untuk dokter. Registrasi untuk baca selengkapnya)

Masuk atau Daftar

Nomor Ponsel Sudah Terdaftar

Masuk dengan Email

Masuk dengan Email

Masuk dengan Facebook

Indikasi Ankle Brachial Index

Referensi

Masuk atau Daftar

Artikel Terkait