Understanding Ankle Brachial Pressure Index (ABPI) in Peripheral Vascular Disease

Рет қаралды 186,148

Күн бұрын

A visual explanation of the ankle brachial pressure index can assess the severity of atherosclerosis in patients with peripheral vascular disease.
Zero to Finals Medicine book:
UK: www.amazon.co.uk/dp/1091859892
US: www.amazon.com/dp/1091859892
Zero to Finals Paediatrics book:
UK: www.amazon.co.uk/dp/1080142827
US: www.amazon.com/dp/1080142827
Zero to Finals Obstetrics and Gynaecology book:
UK: www.amazon.co.uk/dp/B08K4K2WQB
US: www.amazon.com/dp/B08K4K2WQB
Website: www.zerotofinals.com
Notes: www.zerotofinals.com/learn
Multiple Choice Questions: www.zerotofinals.com/test
Instagram: / zerotofinals
Facebook: / zerotofinals
Twitter: / zerotofinals
DISCLAIMER: This video is for education and entertainment only, and is not medical advice. This video should NOT be used for medical advice or to guide clinical practice. The Zero to Finals content should not be used in any way to guide medical decision making. Zero to Finals takes no responsibility for any actions taken or not taken based on the information provided. Local and national guidelines and senior clinicians are there to help you make decisions, not KZfaq videos. If you need medical advice or information, seek it from an appropriately trained and licenced doctor or healthcare provider that can address your individual needs. Zero to Finals cannot guarantee the accuracy of information in this video. Please highlight any errors you notice in the comments below - thank you.

Пікірлер: 164

@mom_doc Жыл бұрын

Thanks for a simplistic and clear explanation. Basically, its all about ratios, and you've explained that very nicely, and the numbers now make sense. I will never forget it now!

@YourTechGuide. 2 ай бұрын

*Thanks for the information. I will definitely be using this today*

@admoh8835 6 жыл бұрын

Thank u , you finally relieved my dyspnea on this topic

@keichitsuchiya6472 5 жыл бұрын

HAHAHAHAHHAHA

@dianerodriguez6546 Жыл бұрын

You are a great teacher, as evidenced by all your educational videos 😊

@orlean110 5 жыл бұрын

An ABI above 1.40 suggests noncompressible vessels, which may reflect medial calcification but is not diagnostic of flow-limiting atherosclerotic disease. An ABI greater than 1.40 is associated with worse cardiovascular outcomes than a normal ABI. In such patients, an appropriate next step is to either measure great toe pressure or calculate a toe-brachial index (systolic great toe pressure divided by systolic brachial pressure). Vessels within the great toe rarely become noncompressible, and a great toe systolic pressure below 40 mm Hg or a toe-brachial index of less than 0.70 is consistent with PAD. Source: MKSAP17

@karenb6547 3 жыл бұрын

Would you then stop compression if ABI is above 1.4 since vessels are noncompressable?

@stacieklueber6340 2 жыл бұрын

So if arteries are calcified ABI is on reliable?????? I thought the definition of arteriosclerosis IS calcification?!

@rkpdalbir 4 жыл бұрын

Thanks for sharing your professional knowledge and experience with public for good. I have same test next week, now I am well prepared to understand and question about outcome of my test.

@edwinaye9292 2 жыл бұрын

Excellent as always Tom…much gratitude

@jackblack4367 2 жыл бұрын

Great Animated Video. great explanation. I m a personal trainer and I've seen some people with severe PAD, and this helps me to explain to my clients. I've had difficulties in trying to understand Blood Pressure and the best way to understand BP. Thanks

@jorgeizquierdo9265 5 жыл бұрын

Life saver video!!! Thank you

@lizziesargeant1250 5 ай бұрын

Very straightforward to understand. I wish that the nurse who took my pressures would have explained that, then I wouldn't have had to watch this!

@royksk 2 жыл бұрын

Very clear and concise; excellent video

@awsqudsi3953 4 жыл бұрын

Beautiful explaining way. Thank you.

@PamelaMaryGreen1 5 жыл бұрын

Very well explained. I understand why I have to have it done now! Thank you!

@ZeroToFinals 5 жыл бұрын

glad it helped.

@546pastelpink5 2 жыл бұрын

You're an absolute life saver, thank you!

@gillianquinn8806 3 жыл бұрын

Simple ,easy explanation. Thanks

@saminamunshi2031 3 жыл бұрын

You have explained so beautifully 👍

@NualaLou 5 жыл бұрын

Very simple and easy to understand. Thank you!

@ZeroToFinals 5 жыл бұрын

Thanks!

@TubeTelivision 4 жыл бұрын

Your videos are always the BEST! Thank you!!

@ZeroToFinals 4 жыл бұрын

Thanks Holly

@graceusa3942 4 жыл бұрын

great teaching, thank you.

@vaishnavibansode2874 19 күн бұрын

Thanks for the clear explanation ❤

@rainandcoffee6426 6 жыл бұрын

You make it so clear thank you

@tessakhairy6876 2 жыл бұрын

Thank you so much, great explanation Tom! And to Harry Watchman for perfectly editing

@antoinetteabouantoun1530 5 жыл бұрын

thank you for the clear and simple explanation. it surely helped.

@ZeroToFinals 5 жыл бұрын

No problem. glad youfound it!

@FemieAdesina 3 жыл бұрын

Thanks for the simple explanation

@user-vo3kq9dp1r 6 жыл бұрын

Wonderful, thank you so much

@SkyNikodell 3 жыл бұрын

Thank you for this easy and digestable explanation

@ZeroToFinals 3 жыл бұрын

You're welcome.

@qamarfallatah8636 4 жыл бұрын

It was so brief and super beneficial to me, thank you a bunch

@ZeroToFinals 4 жыл бұрын

Glad it was helpful. I don't believe in making it longer for the sake of it!

@liljanakaca2199 Ай бұрын

Excellent video.

@adelAl-abd 5 жыл бұрын

>1.4 indicates non compliant arteries 1.0 ~ 1.4 normal 0.91~.99 borderline < 0.9 Abnormal < 0.5 Sever arterial disease, risk of critical limb ischemia

@vudat189 3 жыл бұрын

what if they said left ABI or Right ABI but i dont have number of the right hand ?

@daglan263 2 жыл бұрын

I did enjoy this video, thank you so much !

@ateequrrahman6847 2 жыл бұрын

Thank you very much for good information .

@AdrianaChrite 6 жыл бұрын

THANK YOU! I finally understand

@ZeroToFinals 6 жыл бұрын

You are very welcome Adriana. glad it helped!

@stuartbrignell9457 Жыл бұрын

Excellent explanation, I must arrange to have the test carried out. Thanks for your input. Regards Stuart.

@neverlady 3 жыл бұрын

So very helpful, thank you

@tomchristian9932 11 ай бұрын

Awesome info thank you!

@queenabiola1282 6 ай бұрын

Thanks alot for the explanation❤

@sumitdaniel6630 4 жыл бұрын

Thanks that was Great!🙏💐

@joeythestuntmaster6210 5 жыл бұрын

Great, informative video!

@ZeroToFinals 5 жыл бұрын

Thanks Joey

@saharkhaled5863 3 жыл бұрын

You're perfect Thank you so much

@syedsajjad7935 5 жыл бұрын

Big thanks for the easy understanding. :)

@ZeroToFinals 5 жыл бұрын

You are welcome!

@Ungorgeousgirl 6 жыл бұрын

excellent video aand thank you

@shraddhakanade951 3 жыл бұрын

Thank you so much!!⭐

@Satyaki0059 6 жыл бұрын

All the videos im KZfaq explaining ABPI didnt tell which pressure we have to count? After watching this video I have understood to count only the systolic Bp. Thanks mate !

@catn9608 3 жыл бұрын

so helpful, thanks so much!!

@hh-zq9io 5 жыл бұрын

Thank u million times

@haleemachaudhry7346 2 жыл бұрын

You're amazing.

@karynmorris2406 4 ай бұрын

Many thanks

@Marc_de_Car 8 ай бұрын

Thank you

@shwesinlay.557 4 жыл бұрын

Thanks doctor

@user-yz4nc4sl2v 4 ай бұрын

Very nice video

@imteyazurrahman 4 жыл бұрын

Very good... explained nicely.... there is need to evaluate how narrowing of arterial lumen affects pressure and volume of blood passing thru it .

@AditiPantVlogs 5 жыл бұрын

Great explanation

@ZeroToFinals 5 жыл бұрын

Thank you!

@ismaelhernandez1596 6 ай бұрын

very nice understood

@zahraaalialhares6086 9 ай бұрын

Thank you.🤍

@DR.PATO_7 2 жыл бұрын

thank you very much

@tariqhassan7306 3 жыл бұрын

Thank you sir.

@sanjulawickremasinghe3793 3 жыл бұрын

Thank you 💖

@chetorihenson 10 ай бұрын

Thank you!!!!

@user-yo8jy4ur1y 2 жыл бұрын

Excellent 👏 thanks

@sameharean1902 2 жыл бұрын

Thanks Dr

@mohanadshareef4651 9 ай бұрын

Brilliant

@nickichin9979 5 жыл бұрын

Thanks

@duammd6646 6 жыл бұрын

Thak you so much

@sherilpinnock1639 3 жыл бұрын

thanks

@rathodnehal2869 3 жыл бұрын

great 😊 sir 🙏🙏

@lwill53951 2 жыл бұрын

thank you always wanted to know that because of swelling below both knees

@lazarocardenas5742 5 жыл бұрын

good video thanks

@ZeroToFinals 5 жыл бұрын

Thanks for your comment Lazaro. Glad to help

@hf7488 Жыл бұрын

شكررا جزيلًا

@tuunis3293 2 жыл бұрын

Less, time more benefit Good video

@mohamedhelmy7620 6 жыл бұрын

GREAT

@catherinewangeci5226 Жыл бұрын

Greaaaat

@Mail4Lisa Жыл бұрын

Great video,thanks!! What is a normal reading for ankles! I did this to my family member and right arm was 122 ankles was 140 & 130?

@pakostnik1 5 жыл бұрын

You didn't mention that ratio above 1.3 is as alarming as ratio readings under 0.9. Readings above 1.3 or some findings above 1.4 means calcification of arteries.

@travelightly 4 жыл бұрын

Чикатило, why is a reading below 0.9 alarming?

@KiCkFLiPKiCkFLiP 3 жыл бұрын

@@travelightly Watch the video...

@stacieklueber6340 2 жыл бұрын

I thought artherosclerosis WAS calcification of arteries?????

@4michaelmccann 4 жыл бұрын

Thank you for this explanation. This test assumes the benchmark is the arm. What if the arm pressure is flawed? Why not measure it against a much more reliable benchmark? Why does it only measure the feet? what if you only have PAD in your hands?...So many questions

@stacieklueber6340 2 жыл бұрын

You won’t have it in your hands. Your legs are further from the heart

@jimmiller6704 Жыл бұрын

Can a normal bp machine in a docs office be used to determine this? Why is it not done at every physical? I've complained every time I've gone to the doc about cold feet, no hair growing on my legs and no doc ever took a look at this for me. Why are our docs so poorly trained in this? Not sure where you're from, I'm Ontario Canada, I've asked for this test to be done repeatedly by different docs they always refuse. Great explanation, thanks.

@Richard-od1vu Жыл бұрын

If I have….lets say 120/80 in arm, I want to have 120 or more in ankle?

@lindapestridge3073 Жыл бұрын

Hi Richard did you find the answer I wanted to know the same as you .

@PrajwalBikramKC 7 ай бұрын

Yes the pressure will be more in ankle compared to brachial because the heart and the the brachial artery lies adjacent to each other so same level whereas the ankle is the lowest as compared with the pumping organ heart so will have more depth and we know the formula P=HDG where p is pressure and h means height so pressure is directly proportional to height or depth. As ankle have more depth pressure will be more. I hope it may help you🥰

@lindapestridge3073 4 ай бұрын

@@PrajwalBikramKCoh thank you so much that is so kind of you to reply .

@dianamartell1601 Ай бұрын

A value higher than 1.3 could indicate calcification, which isn't good. So a value of 1-1.3 is generally normal and healthy. But past 1.3 would not be a good finding.

@1234jally 3 жыл бұрын

Quite informative however no mention of above 1.3

@danielshively9778 4 жыл бұрын

So what happens if your blood pressure is higher in your leg then your arm?

@AhmedAhmed-vo5mh 8 ай бұрын

عاشت ايدك بالعراقي 😂❤

@user-ii2gm3fu8x 5 ай бұрын

Can you do this at home with a home monitor

@albabop5993 Жыл бұрын

Its important to remember arteriosclerosis can throw out an elevated ankle reading and skew the ratio.

@johnarthur4736 2 жыл бұрын

Should you do both the arm and the ankle readings lying down or sitting? Thank you.

@ZeroToFinals 2 жыл бұрын

Good question. Lying down.

@tonygirard3307 5 жыл бұрын

My condition was

@rnblovaa 4 жыл бұрын

How did you get help what were your symptoms?

@yesno2995 3 жыл бұрын

Good

@jbrdbr111 6 ай бұрын

So the ankle is 161, and the arm is 119. It seems high at the ankle. My calculation is 1.35 if it's the leg divided by arm

@petermorris9868 Жыл бұрын

What happens when you get readings which are 1.3 and above. CKS guidelines recommend a referral. But what does that mean in regards to pathophysiology/disease?

@philipbrainard7122 10 ай бұрын

Are you standing, sitting or lying down when testing

@kbmblizz1940 8 ай бұрын

Very clear. I wish they just use Brach/Ankl, so easier for us to remember. (Top/Lower) 😂

@emilshipp1623 3 жыл бұрын

What exactly is Hybetez Remedy? How does this thing really work? I see many people keep on talking about this high blood pressure remedy.

@kaushikbhagat8272 2 жыл бұрын

At ankle wch artery should be auscultated for BP measurement?

@Rebecca75100 11 ай бұрын

Thanks but wldn't it be painful fr the patient, to record d BP on d affected leg?

@Divocwax 3 жыл бұрын

That's all very clear - almost. But what position is the body when taking the two comparative readings? Your diagram shows a standing person. Should not the person be lying down?

@ZeroToFinals 3 жыл бұрын

Yes, you are correct. Best to do them lying down

@vudat189 3 жыл бұрын

what if they said left ABI or Right ABI but i dont have number of the right hand ?

@hussainabbas9260 4 жыл бұрын

when can I say it's acute ischemia or chronic ischemia ?

@Joseph8961 2 жыл бұрын

Why vessel calcification will have a picture greater than 1.2

@inneralpha 4 жыл бұрын

So ankle brachial index uses the highest pressures from the arm and ankle? So you would have to measure both arms and both ankles before obtaining a final results?

@venomx4093 2 жыл бұрын

Yeah confusing as my bp reads different from 1 minute to the next in either arm. It may read 135/80 and 1 minute later read 110/72 which will give 2 totally different totals. My ankles do the same thing.