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ABI Calculator (Ankle-Brachial Index)

Calculate ankle-brachial index for peripheral artery disease screening

Blood Pressure Measurements

mmHg

Measure blood pressure in both arms and enter the higher value

mmHg

Highest systolic pressure measured at the right ankle

mmHg

Highest systolic pressure measured at the left ankle

Example Calculation

Patient Example

Highest arm pressure: 120 mmHg

Right ankle pressure: 110 mmHg

Left ankle pressure: 95 mmHg

Calculation

Right ABI = 110 ÷ 120 = 0.92 (Acceptable)

Left ABI = 95 ÷ 120 = 0.79 (Mild arterial disease)

Result: Right leg shows acceptable circulation, left leg shows mild arterial disease

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ABI Interpretation Guide

Above 1.4

Calcification/Hardening

Consult vascular specialist

1.0 - 1.4

Normal

No action needed

0.9 - 1.0

Acceptable

No action needed

0.8 - 0.9

Mild Arterial Disease

Consult your doctor

0.5 - 0.8

Moderate Arterial Disease

Consult vascular specialist

Below 0.5

Severe Arterial Disease

Immediate medical attention

PAD Risk Factors

⚠️

Diabetes

Increases arterial damage risk

🚬

Smoking

Major modifiable risk factor

🩸

High Blood Pressure

Damages artery walls

🧬

High Cholesterol

Causes plaque buildup

👴

Age (50+)

Risk increases with age

Test Information

🏥

Performed by healthcare professionals

🔄

Non-invasive Doppler ultrasound

⏱️

Quick 10-15 minute procedure

🚭

No smoking 2 hours before test

Understanding the Ankle-Brachial Index (ABI)

What is ABI?

The Ankle-Brachial Index (ABI) is a simple, non-invasive test used to diagnose peripheral artery disease (PAD). It compares blood pressure in your ankle with blood pressure in your arm to determine how well blood is flowing to your extremities.

How is it performed?

A healthcare professional uses a Doppler ultrasound device to measure systolic blood pressure at multiple points: both arms and both ankles. The highest reading from each location is used in the calculation.

When is ABI recommended?

  • Leg pain while walking (claudication)
  • Non-healing wounds on feet or legs
  • Cold feet or color changes in legs
  • Presence of cardiovascular risk factors

Clinical Significance

Early Detection

Identifies PAD before symptoms appear

Risk Assessment

Predicts cardiovascular event risk

Treatment Monitoring

Tracks response to interventions

Prognosis

Lower ABI indicates worse outcomes

Limitations

  • • May be falsely elevated in diabetes (calcified arteries)
  • • Cannot detect mild disease in some patients
  • • Requires trained healthcare professional
  • • May need additional tests for complete assessment

Important Medical Disclaimer

This ABI calculator is for educational purposes only and should not replace professional medical evaluation. The actual ABI test must be performed by qualified healthcare professionals using proper equipment.

Always consult with qualified healthcare professionals for:

  • Proper ABI testing and measurement
  • Clinical interpretation of results
  • Diagnosis and treatment of peripheral artery disease
  • Management of cardiovascular risk factors

Seek immediate medical attention if you experience: Severe leg pain, non-healing wounds, sudden color changes in extremities, or signs of acute arterial occlusion.

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