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vascular general-medicine cardiology

Ankle-Brachial Index (ABI)

Diagnoses and grades severity of peripheral arterial disease (PAD). ABI = ankle systolic BP / brachial systolic BP. Predicts cardiovascular risk.

Score interpretation

Normal ABI or borderline

→ Secondary prevention: antiplatelet, statin, smoking cessation; repeat ABI in 1-2 years; supervised exercise programme

Mild to moderate PAD

→ Vascular surgery referral; supervised exercise programme (6 months); antiplatelet + statin; blood pressure control; duplex USS

Severe PAD, CLI, or non-compressible vessels

→ Urgent vascular surgery assessment; toe-brachial index or pulse wave if non-compressible; angiogram; revascularisation; wound care; critical limb team

Interpretation bands for the Ankle-Brachial Index. Apply clinical judgement and local guidance.

References

Related

Curated clinical cross-links plus same-class fallbacks.

Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.