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Comparison of ankle–brachial index measured with an automatic oscillometric method with the standard continuous Doppler method and effect of rest time before the measure in patients with exertional limb symptoms

Hypertension Research volume 43, pages 585–587 (2020)Cite this article

Lower extremity peripheral arterial disease (PAD) affects over 200 million people worldwide. The importance of the ankle–brachial index (ABI) measurement for PAD diagnosis has been highlighted by international guidelines [1]. ABI is the ratio of the highest lower limb blood pressure over the highest arm blood pressure measured using a continuous Doppler probe (ABI–Dop). A learning period is necessary to measure ABI–Dop in an accurate and consistent manner [2]. To alleviate this issue, automatic devices have been developed [3,4,5,6]. For PAD screening, a new oscillometric device (MESI-ABPI-MD®) consisting of three cuffs (two at the ankle level and one at the arm level) that simultaneously inflate was developed. The MESI-ABPI-MD® had a 57% sensitivity and a 99% specificity to diagnose PAD (i.e., ABI–Dop) value < 0.90) [3] in the general population. However, little is known about the accuracy of the device when compared with the standard continuous Doppler method in symptomatic patients. Therefore, the primary objective of this study was to evaluate the agreement of the MESI-ABPI-MD® device with continuous Doppler in subjects with exertional limb symptoms. The secondary objective was to evaluate the effect of a resting period on ABI when measured with the MESI-ABPI-MD® device.

All patients referred to the vascular medicine unit for a suspicion of PAD based on exertional limb symptoms between 12/03/2018 and 09/05/2019 signed a consent form according to the Helsinki declaration to participate in the study. The study was declared on clinicaltrials.gov (NCT03186391).

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Acknowledgements

The authors thank the MESI company, which loaned the MESI Device. The MESI company had no role in the design and interpretation of the results of the study.

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This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

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Authors and Affiliations

  1. CHU Rennes, Médecine vasculaire France, Rennes, France

    Pierre-Yves Boilley, Quentin Tollenaere, Annaig Miossec, Antoine Guilcher & Guillaume Mahé

  2. Department of General Medicine, University of Rennes 1, Rennes, France

    Pierre-Yves Boilley

  3. CH Quimper, Pharmacie, Rennes, France

    Jennifer Howlett

  4. University of Rennes 1; INSERM CIC 1414, Rennes, France

    Quentin Tollenaere, Annaig Miossec, Antoine Guilcher & Guillaume Mahé

  5. CHU Caen Normandie, Médecine vasculaire, Rennes, France

    Damien Lanéelle

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Correspondence to Guillaume Mahé.

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Boilley, PY., Howlett, J., Tollenaere, Q. et al. Comparison of ankle–brachial index measured with an automatic oscillometric method with the standard continuous Doppler method and effect of rest time before the measure in patients with exertional limb symptoms. Hypertens Res 43, 585–587 (2020). https://doi.org/10.1038/s41440-020-0403-7

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