Measurement of the ankle brachial index with a non-mercury sphygmomanometer in diabetic patients: a concordance study

BMC Cardiovasc Disord. 2013 Mar 8:13:15. doi: 10.1186/1471-2261-13-15.

Abstract

Background: The removal of mercury sphygmomanometers from health centers requires the validation of other instruments to measure blood pressure in the limbs to calculate the ankle-brachial index (ABI).

Methods: Descriptive cross-sectional study of agreement between two measurement methods in type 2 diabetes patients from three urban primary healthcare centres in the Barcelonès Nord i Maresme area (Catalonia, Spain).

Results: 211 patients were included, from these, 421 limbs were available for study. The mean age of the participants was 67 years (SD = 10), 51.7% were women.

Conclusion: The combination of a Doppler device with the hybrid sphygmomanometer is a simple and reliable method to measure ABI showing that hybrid sphygmomanometer is a good alternative to the use of mercury sphygmomanometers.

Publication types

  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Ankle Brachial Index / instrumentation*
  • Ankle Brachial Index / methods
  • Cross-Sectional Studies
  • Diabetes Mellitus, Type 2 / complications
  • Diabetes Mellitus, Type 2 / physiopathology*
  • Diabetic Angiopathies / diagnosis
  • Female
  • Humans
  • Male
  • Peripheral Arterial Disease / diagnosis
  • Predictive Value of Tests
  • Sphygmomanometers / standards*