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

https://doi.org/10.1136/ebm.12.6.187

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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

    Embedded ImageDesign:

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

    Embedded ImageSetting:

    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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    Footnotes

    • Source of funding: not stated.