Peripheral artery disease: Ankle Brachial Index

[@staceyfitness]

Your video describing ABI was so helpful. I'm a RN studying for wound certification. I've had a difficult time understanding PAD and ABI's. Your video was so much more comprehensive than a text book. I had a "aha" moment. You have brought clarity to what seemed to be complicated. I will continue to watch your videos. Thanks.

[@andrasiandrasi5664]

Jó napot kívánok. 33 éves vagyok s nem cigyztem sohasem de igaz hogy azért mindig fazekony voltam. Lenne egy kérdésem hol dolgozik ön hogy menyek önhöz hogy csinajan egy Buerger tesztet mért voltam egy helyen s csináltam Angio CT s azt mondták hogy buerger betegségem van. Vagy hogy tudnám el küldeni a kepeket az Angio CT rol h ön is neze még.

[@Mia-dl6um]

This Doctor is very good at explaining things. He make things easy for everyone to understand.

[@cathytannahill2224]

Thank you so much. you made it so much easier to understand the differences in the readings. You presented it very well ,

[@dy7023]

Love your style of presentation, clear and easy to understand.

[@drmathias9248]

You are just perfect!!you gonna do more video about medicine

[@dylanleonard4945]

Many thanks itn is the best explanatory video for ABPI in detail.

[@sameehmastor2885]

Thank you So much my doctor & my friend Dr Andras 👍👍

[@gertlarsson9285]

Very good explanation! I will do a test this week (wake up with pain) and when exercising.

[@amjadalakel4098]

Amazing explanation. Can you arrange a playlist of your videos on cardiovascular topics? Thank you.

[@johnreidy2804]

Thank you for this quality information it is indeed helpful.

[@yaldak6979]

I just did ABI test and the technician who was doing the test keep talking to me during the time he was taking my arm blood pressure so my arm number is while I was talking and my ankle numbers are without talking. The number came back normal but I am not sure if it is accurate since I was talking during arm blood pressure measurement. What do you think based on your experience regarding my ABI accuracy? The ABI is 1.19 and 1.25! And BTW, I have claudication symptoms during exercise and after. My cardiologist is not good and he tries to convince there is nothing wrong with me and I already have an autoimmune disease and hyporeflexia and will do EMG and NCV test to check nerve damage.

[@MrJany82]

Best video on abi. Thanks.

[@islamabadcity]

I have numbness in my feet upto little bit up my ankle. I feel cool and sometime warm . I am taking medicine only lyrical 175 mg twice daily and 10mg blood pressure medicine but I don’t have relief. Pl. suggest other medicine to which I get relief. If I want to consult you how can I? Thanks

[@KoalaBeer.]

Was it PAD how feet now

[@Leoviliti1]

I've been in agony with my legs for quite a while ...but the difference between my blood pressure is by 110 .. on a home blood pressure monitor The ankle stated 265 And the arm was 155 I'm rather high .. I have no hair growth on my legs any more either and they're extremely pale.. they barely go pink again when I put my feet down I've recently been referred to a vascular surgeon but it's not until June of this year.. Thank you for this enlightenment .. The Doppler will obviously be able to tell much more information .

[@KoalaBeer.]

How u go? ..any numbness

[@kumbasarr1444]

What a great explanation. Thanks 👍

[@garyhoward4064]

Could you provide a more detailed explanation about interpreting values between 0.9-1.3 for « normal » people. What does the difference between these 2 numbers mean?

[@thethinkingman-]

the difference between the numbers is about 0.4. and thats normal for most people.

[@SK-qu4wo]

Are there any mild symptoms associated with PAD? I am 40 and I recently started feeling numbness in my left big toe and sometimes a tingling sensation in my left leg when I sit down. I checked the blood pressure in my left arm and then the blood pressure in my left ankle. My systolic for the arm was 122 and the systolic for the ankle was 137. Any cause for concern here?

[@Thingolness]

Thank you for the presentation! Brilliantly explained! Could you please correct with an annotation the ">" into a "

[@Encourageable]

The way he has it is correct. The upper boundary is 1.3 therefore anything greater than 1.3 is problematic. He didn’t position the sign in the typical place which must have confused you.

[@Thingolness]

​@@Encourageable Oh goodness! That makes more sense. :) Thank you

[@fooballers7883]

Thanks for a very informative video... a quick question.. would a foetal doppler monitor be sensitive enough ?

[@sitatofilau-pereira5140]

Instead of brachial reading can a wrist bp reading be used and is the same formula used ?

[@muthoni632]

Is it possible to use a stethoscope for Doppler?

[@patriciaharris9300]

Excellent video, really helped.

[@afrahalmohammadi2873]

your way of explaination is awsome 👌

[@michelangelobuonarroti916]

Good instruction. Now, how to fix or prevent all this. Whole foods plant based diet, intermittent and extended fasting, and daily exercise, if only walking.

[@julieoliver8170]

I went keto. Veggies under 50 grams of carbs. Getting better fast

[@erandeser5830]

Very good in the last 30 seconds

[@thethinkingman-]

if you remember the ankle is the lower part of your body and the arm is the upper part of you body then you can remember that you put the ankle on top and your arm below to get the index. its simple when you think about it!

[@fatimahalshehri9501]

When to use TBI instead of ABI ?!

[@mohammedabdulkadir2004]

Perfect my doc!

[@chaucerflanders7918]

thank you so much you explained very well

[@ulster7717]

So you wouldn’t recommend doing this with just a BP monitor as suggested by another MD on you tube.

[@drandrasfazakas]

No, blood pressure monitor is not sensitive enough. Of course it's better than nothing if you don't have access to a Doppler.

[@venkatesh4159]

Hi sir, can do angioplasty and stent in popiteal artery on knee . Kindly advise Thank you

[@nicholasroberts6954]

Wonderful, thank you. At the moment in the UK, with the great NHS (!), patients in the affected groups would be extremely unlikely to get this test at the first point of contact with the Health Service (Usually the GP) and would have to wait until the condition got really bad before getting a referral to a specialist . . . Usually by that time they have been crippled or lost part of a leg. And all because the NHS is severely underfunded and because some medical practice, in part, so as to conform to the under-funding, is ante-deluvian, with the consequence that preventative healthcare is not made available so that it can offer its Quality of Life preserving effects and long-term increased health cost avoidance/minimisation. The neglect of this problem in the UK, with the way the demographics are going i.e. greater proportion of the population in the affected age groups, can only mean one thing. . . More widespread suffering. One wonders what the top health professionals and civil servants who head the NHS are doing. . . By now there should be a whole batch of tests that are routinely conducted on patients in the affected age groups, at least once a year or whenever they visit the GP (If they haven't visited in the last year) . . . But nothing heard so far, in fact the complete reverse. Now there's a routine job that could be done my a trained professional and technical person in the health in service and perhaps in place of the doctors Keep-up the good work spreading the word.

[@bunnysingh7443]

My ABI decreases more than 15% after exercise although it's normal also have claudication symptoms and I'm 32 years old

[@GbFaakes]

Well done man! Preciate it

[@krystalmaecandelario5623]

What are yout reference books?

[@drandrasfazakas]

Uptodate, Merckmanual, Medscape, Clinical experience and contact with professors that I know.

[@farmanmed9164]

well done 👍

[@anaochoa242]

Amazing , thank you 🙏

[@gaia8888]

Thank you soooo much ! U saved me

[@barrieford3522]

I have 1.35 abi and walking pain no diabetes bloods all normal. I'm 2 years in pain every step what is my best way forward vascular or neuropathy consultant?

[@malourez]

Just remember leg over and that’s it 😂

[@user-yy3vd9vx7y]

✌️🙏🇨🇦

[@drankushgoyal5775]

Amazing

[@arosalesmusic]

I tried this with a regular blood pressure monitor and got a result of 1.26

[@thethinkingman-]

you need to put the ankle on top and then you will get a proper result

[@Rb5241]

Dr. should have specified where the pain was. The patient could have been having a headache and thus experiencing pain. He should have asked if the patient were having foot or leg pain. Picky I know, but it was confusing initially and I'm still not sure where the pain was that he was referring to. Otherwise, he did provide important information.

[@johntube7554]

the most important question is what you can do for a person when his diagnosis indicates a disease, nothing! all the medicine you can give them will have side effects and no fix. the most you can tell them is watch your diet. so, just lets ask everyone to watch their diet and no need for these tests.

[@dr.issra.k.6015]

Super wonderfull

[@samjenner2429]

What if there's a substantial difference in diastolic BP between the arm and ankle?

[@drandrasfazakas]

The Ankle/Brachial Index measures the systolic blood pressure and not the diastolic, since we are measuring the sound from the blood flow in the arteries with a doppler device.

[@samjenner2429]

Okay, got it. Thank you for answering.

[@phillyb4588]

amazing

[@julieoliver8170]

I had a 1.9

[@xadam2dudex]

I never will understand why they use a comma for a decimal point and still call it point ??

[@kstoeb]

I can only speak for German as an example: We use a coma as the decimal separater and we also call it a coma when we speak. So e.g. "null Komma neun" for 0,9. But if I would do my presentation in english I would say it the anglo-american way: "zero point nine". (I would also try to remember to write it that way ;-)

[@xadam2dudex]

@@kstoeb how does one determine when a number is not a decimal number ? Our symbols would read this number as nineteen thousand three hundred = 19,300 yet if a comma is a decimal point you would read it nineteen and 3/10 .. A big difference

[@kstoeb]

@@xadam2dudex A coma is always the decimal separator in German. We use coma and point the exact opposite way than the anglo-american system You simply have to know in wich system you are.

[@kstoeb]

Example: "one thousand two hundred and thirty four and a half" would be written as … 1,234.5 in english 1.234,5 in german