Ankle Brachial Index as Diagnostic Marker for Asymptomatic Peripheral Arterial Disease in Diabetes Mellitus

Authors

  • Syed Yasir Abbas Department of Medicine, Combined Military Hospital, Hyderabad/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Mohammad Naeem Qureshi Department of Medicine, Combined Military Hospital, Hyderabad/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Muhammad Muttahar Asim Niaz Department of Surgery, Combined Military Hospital, Hyderabad/National University of Medical Sciences (NUMS) Pakistan
  • Sara Aziz Janjua Department of Medicine, Combined Military Hospital, Hyderabad/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Mirza Waseem Javed Department of Medicine, Combined Military Hospital, Badin/National University of Medical Sciences (NUMS) Pakistan
  • Hafsa Urooj Department of Medicine, Liaquat University of Medical and Health Sciences Hospital, Jamshoro Pakistan

DOI:

https://doi.org/10.51253/pafmj.v74i1.9376

Keywords:

Asymptomatic peripheral arterial disease, Ankle brachial index, Intermittent claudication, Glycated hemoglobin, Diabetes complications

Abstract

Objective: To determine ankle brachial index (ABI) as a diagnostic marker for asymptomatic peripheral arterial disease (PAD) in diabetes mellitus (DM).

Study Design: Cross-sectional study.

Place and Duration of Study: Combined Military Hospital, Hyderabad, Pakistan from Jan to Sep 2022.

Methodology: A total of one hundred and seventy (n=170) asymptomatic patients with DM were included. Specific details
were recorded, which include HbA1c levels, duration of diabetes and ankle brachial index.

Results: There were 60.0% male and 40.0% female patients. With the mean age of 50.60±11.55 years. The mean duration of
diabetes mellitus was 4.20±1.97 years. Mean HbA1c was 7.41±1.27%, mean ABI was 1.03±0.13. Peripheral arterial disease was observed in 17.05% of asymptomatic cases using ABI, with ABI sensitivity of 82.86% and specificity of 97.24% in detecting asymptomatic PAD patients. It was significantly associated with an increase in the duration of diabetes.

Conclusion: Asymptomatic peripheral arterial disease diagnosed through the ankle brachial index showed that it is a reliable source for diagnosing patients with asymptomatic PAD in diabetes mellitus reported in routine clinical visits.

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Published

28-02-2024

How to Cite

Abbas, S. Y., Qureshi, M. N., Niaz, M. M. A., Janjua, S. A., Javed, M. W., & Urooj, H. (2024). Ankle Brachial Index as Diagnostic Marker for Asymptomatic Peripheral Arterial Disease in Diabetes Mellitus. Pakistan Armed Forces Medical Journal, 74(1), 76–79. https://doi.org/10.51253/pafmj.v74i1.9376

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