Ankle-brachial index: more than a diagnostic test?

Ludwig Caceres-Farfan; Milagros Moreno-Loaiza; W. Samir Cubas

doi:10.47487/apcyccv.v2i4.168

Autores/as

Ludwig Cáceres-Farfán Service of Vascular and Endovascular Surgery, Department of Thoracic and Cardiovascular Surgery, Edgardo Rebagliati Martins National Hospital, Lima, Peru. https://orcid.org/0000-0001-6905-8196
Milagros Moreno-Loaiza Service of Vascular and Endovascular Surgery, Department of Thoracic and Cardiovascular Surgery, Edgardo Rebagliati Martins National Hospital, Lima, Peru. https://orcid.org/0000-0003-4123-7314
W. Samir Cubas Service of Vascular and Endovascular Surgery, Department of Thoracic and Cardiovascular Surgery, Edgardo Rebagliati Martins National Hospital, Lima, Peru. https://orcid.org/0000-0002-5380-7372

DOI:

https://doi.org/10.47487/apcyccv.v2i4.168

Palabras clave:

Índice tobillo braquial, Enfermedad arterial periférica, Factores de riesgo cardiovascular, Morbilidad, Mortalidad

Resumen

El índice tobillo-brazo (ITB) es la relación entre la presión arterial sistólica tomada entre el tobillo y la arteria braquial. Un ITB patológico (<0,90 o >1,40) indica la presencia de enfermedad arterial periférica (EAP). Muchos estudios muestran la gran utilidad de esta prueba en el diagnóstico de la EAP debido a su facilidad de uso, reproducibilidad, bajo coste y alta rentabilidad. Esta evaluación puede correlacionarse directamente con la morbilidad y mortalidad cardiovascular; sin embargo, recientemente se ha confirmado que un ITB bajo puede ser un predictor de eventos cardiovasculares mayores, ya que está relacionado con la diabetes mellitus, la enfermedad coronaria crónica y el ictus, entre otros. El objetivo de este trabajo fue revisar la evidencia actual sobre la importancia del ITB en el diagnóstico de la EAP y su papel principal como predictor de morbilidad y mortalidad cardiovascular.

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