Youtube Video

Summary published at 12/13/2024

🧑‍⚕️ The Ankle Brachial Index (ABI) test is a simple and effective method to check for plaque in your arteries. It has a 98% specificity and around 90% sensitivity for detecting significant plaque buildup, but these numbers apply only if there is 50% or greater blockage.

⚠️ Important caveats: The test may be less effective for detecting small amounts of plaque and has lower specificity in individuals with diabetes. Always consult your physician for a comprehensive diagnosis.

🩺 The ABI test measures the resistance in your arteries. As plaque builds up, blood flow encounters more resistance, which can be detected through this test. It is particularly effective for identifying significant increases in vascular resistance.

📋 To perform the test, you will need a blood pressure cuff and a quiet place to rest for 5 minutes before taking measurements. Avoid stimulants like caffeine prior to the test.

📊 Record the systolic blood pressure from both arms and ankles. Ignore the diastolic numbers. For example, if your measurements are:

  • Left Arm: 126 / 72
  • Left Ankle: 128 / 74
  • Right Arm: 130 / 78
  • Right Ankle: 124 / 76

🔍 Take the highest systolic number from the ankles and divide it by the highest from the arms. In this case, 128 (ankle) / 130 (arm) = 0.98.

📈 Interpretation of results:

  • 0.6 to 0.89: Possible plaque buildup.
  • Below 0.6: High likelihood of plaque buildup.
  • 0.9 to 1.4: Normal range.
  • 0.8 to 0.89: Focus on reducing cardiovascular disease risks.
  • Below 0.8: Requires further testing and physician consultation.

💡 For those with borderline results, consider lifestyle changes such as improved nutrition and exercise to reduce cardiovascular risks. More information on reversing plaque buildup is available in related resources.

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