Department of Surgery, Sree Balaji Medical College and Hospital, Chennai 600044, India
Research Article
Detection of Asymptomatic Peripheral Vascular Disease in Healthy Male Smokers between 21 to 60 years Attending Tertiary Care Hospital using
Ankle Brachial Pressure Index in Urban Chennai: An Observational Study
Author(s): Jayakanthan Saravanan*
Background: PAD affects 10%-15% of the population and about 20% of people aged over 60 years. Worldwide,
the incidence of PAD has increased from 164 million in 2000 to 202 million in 2010. 50% of population who have
PVD are asymptomatic and therefore do not seek medical assistance, or are not screened by clinicians in the absence
of symptoms. Therefore it becomes necessary to screen the individuals who have asymptomatic PVD at early stage as
they have the equal risk of morbidity and mortality like those who have obvious symptoms.
In the 1950's, Winsor described the Ankle Brachial Index (ABI), a good and simple non-invasive method for assessing
arterial perfusion. It remains a primary clinical diagnostic test for detection of asymptomatic PAD. The lower the
ABPI (Ankle–Brachial Pressure Index) value, the higher the risk of all-cause and .. View more»