Ankle-brachial index: more than a diagnostic test?

  • 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
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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Publicado
2021-12-27
Cómo citar
1.
Cáceres-Farfán L, Moreno-Loaiza M, Cubas WS. Ankle-brachial index: more than a diagnostic test?. Arch Peru Cardiol Cir Cardiovasc [Internet]. 27 de diciembre de 2021 [citado 17 de enero de 2022];2(4):254-62. Disponible en: https://apcyccv.org.pe/index.php/apccc/article/view/168
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