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Topics:
Cardiology • Peripheral Vascular Disease
Would you favor additional work-up for abnormally elevated ABIs that suggest noncompressible vessels to confirm the presence of PAD?
If so, would you consider more aggressive LDL target goals of 55 or below for these patients?
Answer from: at Academic Institution
Any ABI greater than 1.4 is due to calcification of the blood vessels. This is abnormal, and the risk of MI, Stroke, and CV death is increased in these individuals. Therefore, I would treat them as if they had peripheral artery disease and would go for an LDL below 55. I would not necessarily do ...
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Answer from: at Community Practice
For patients with non compressible vessels (patients with DM, CKD for example), the use of a toe-brachial index (TBI) is the preferred choice to diagnose underlying PAD.