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The ankle brachial index independently predicted all-cause mortality in high-risk patients with peripheral arterial disease

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In high-risk patients referred to a vascular centre for evaluation of peripheral arterial disease (PAD), how does the ankle brachial index (ABI) compare with dobutamine stress echocardiography (DSE) for predicting cardiovascular (CV) morbidity and all-cause mortality?

Thatipelli MR, Pellikka PA, McBane RD, et al. Prognostic value of ankle-brachial index and dobutamine stress echocardiography for cardiovascular morbidity and all-cause mortality in patients with peripheral arterial disease. J Vasc Surg 2007;46:62–70.

Clinical impact ratings Surgery—vascular ★★★★★★⋆ Internal medicine ★★★★★★⋆

METHODS

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cohort study comparing 2 previously established independent predictors of CV risk (ABI and DSE).

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Gonda Vascular Center, Mayo Clinic, Rochester, Minnesota, USA.

Embedded ImagePatients:

395 of 437 patients (mean age 70 y, 60% men) who were referred to the vascular …

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