Ankle Brachial Index (ABI) Test: How to Perform

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This video provides a simple demonstration of how to perform an Ankle Brachial Index test in at the bedside of a patient in an office or hospital. The Ankle Brachial Index (ABI) is a measure of ankle pressure divided by the pressure at the arm. The test is performed with a simple handheld Doppler and a blood pressure cuff, taking measurements at the ankle and arm.
This video is from a the Stanford Medicine 25: an initiative to enhance the culture of bedside medicine and physical diagnosis. Visit our website to learn more. The ankle brachial index is one of our "25" diagnostic techniques that we teach.

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27 май 2024

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Комментарии : 102

@annetteasbury887 9 лет назад

Who was the idiot who gave this demonstration a thumbs down? This was so simple and well done. Thank you so much for your time and instruction Dr. Cooke.

@StanfordMedicine25 9 лет назад

Annette Asbury :)

@ernestocaamano7818 4 года назад

Maybe they thought that thumbs down is to download the video 🤣

@andybowman9697 3 года назад

I agree. I was looking at other vids and this one is very clear and concise. Real proof there than you can't please everyone I guess, lol.

@DwightLivesMatter 3 года назад

Maybe because some people simply don't like it? Not everyone has to. Grow up.

@elszonnekind 2 года назад

Els de ridder Hamme Wielstraar

@ammarali6252 8 лет назад

Really talented Physician. Up to the point and clear!

@StanfordMedicine25 8 лет назад

thank you very much!

@peterclauter9132 3 года назад

Thanks Dr. Cooke, loved the video. Even though this was done 8 years ago, can you believe that?! Anyways, hope you're doing well and your stoke is high.

@stephensanchez201 4 года назад

I never leave comments. But this is really well done & breaks down the formulas/severities at the end. Thank you for sharing this

@DwightLivesMatter 3 года назад

Why don't you leave comments?

@afonsodeportugal 11 месяцев назад

@@DwightLivesMatter Because the FBI can track him.

@drwalifchbeir4205 8 лет назад

Very informative. I enjoyed the instructions given for the dorsalis pedis and posterior tibial arteries and the table of normal and pathological values provided at the end of presentation as well as their therapeutic implications.

@HuyPham-om8pf 10 лет назад

Simple excellent technique. Thank you so much from a second year Podiatry student from Australia.

@StanfordMedicine25 9 лет назад

Thank you for the message!

@broganhogan3469 7 лет назад

AWESOME video... thank you, Doctor!!

@komalbhardwaj307 4 месяца назад

Thank you so much Professor ❤️ learned a lot from you

@sharonmooney3286 7 лет назад

Excellent. Very well represented and able to understand. Thank you.

@Nettie_lou 5 лет назад

Very informative and easily understood. Thanks!

@Ak-lh1ip 7 лет назад

Is it too late to thank Doc? You deserve that even after 4 years :) Ps: Any pdf document version of this instruction would be appreciated Doc.

@fakhrudinrumat3428 8 лет назад

Great Video, crystal clear. Very useful. Thank you.

@sherrymelton285 8 лет назад

Great video! Wonderful demo.

@paulMcGlothin 9 лет назад

Excellent, informative video!

@nnekababy 4 года назад

Thanks so much! Pack full of info with no fluff.

@giobasta6918 9 лет назад

OH MY GOD, PLEASE DO MORE VIDEOS ON PHYSICAL EXAMINATION. I SIMPLY LOOOOOOOOOOOVE YOUUUUUUUUUUUUUUUU

@abdulazimsaffaf8899 7 лет назад

greeeeat! thanks a lot Stanford 25

@buianh5294 Год назад

Very easy to understand, thank you very much, Doctor!

@michaelragaee 8 лет назад

That was so helpful, please do more:)

@rumit9946 7 лет назад

excellent job stanford medical

@katema1833 2 года назад

Thank you for the teaching!

@DoloresDavis-cw8tr Год назад

Very helpful. Helped me understand much easier than the textbook I had.

@yvonneachterman9305 Год назад

Thank you, Stanford! Studying for a test!!

@matsbartram7642 5 месяцев назад

Very helpfull video, i have to teach this as a student assistant and it helps so much to have clear visual information on the performance of the test!

@wonderfulwyoming 6 лет назад

Very helpful! Thank you!

@LittlePurpleBook 7 лет назад

Excellent explanation!

@KatieF307 11 месяцев назад

I do the evaluation using a portable ultrasound unit. It works well. This is a great video.

@drkmlakshmipathy 2 года назад

Thank you so much for this useful video on ABI..lots of regards from Chennai 🙏happy new year 2022.

@muj3595 3 года назад

Thank you for this video, why do we use the highest brachial/ ankle for when we calculate the ABI?

@Gfc707 7 лет назад

Helpful video.

@docdrkadirgokhanatilgan4273 7 лет назад

thank you so much for your valuable knowledge share with us

@dierob005 7 лет назад

Excellent, thanks.

@MsReLoves 3 года назад

Best Video on ABI index

@joseluizm.garcia998 11 месяцев назад

Very usefull information that can be used by anyone. Thank you so much

@kirstenoldale2029 Год назад

Thanks! Great video

@mohammadaftab904 9 лет назад

I am Very Thankful ; with best wishes

@johnreidy2804 Год назад

Thank you for this very informative video .

@MissFussyNZ 11 лет назад

great video thanks!

@user-op1lx9nf3d 6 лет назад

Just Superb!

@zacmiller8181 9 лет назад

Excellent video. Thanks!

@StanfordMedicine25 9 лет назад

You're welcome!

@titaniasanty713 9 лет назад

Thanks a lot ,, this is great information.......

@estebantosu 4 месяца назад

Bellísimo y muy util, muchas gracias 😸

@bonvivant1807 Год назад

Awesome, thanks! ❤️

@rolandodeleon3781 2 года назад

Excelent video, it helped me a lot

@chris_euphoria 4 года назад

Perfect explanation

@sunving 4 года назад

Thanks Doctor

@Zaloomination 6 лет назад

This video helped me understand the procedure AND how to locate the dorsalis pedis and ant/posterior tibial pulses. Thank you!

@ronelgallon6949 5 лет назад

Well done!

@rebeccawong3656 7 лет назад

great info

@wholeNwon 5 лет назад

Wise to first assess for aortic regurgitation. With a little practice, one can measure the index with a cuff and an appropriate stethoscope.

@harreaza 10 лет назад

Excellent!

@StanfordMedicine25 9 лет назад

Thanks!

@jesuslima4380 3 года назад

Great demonstration. Suggestion: hire a cameraman that can manually focus, autofocus can be a headache !

@widirusmono5305 9 лет назад

THANKS !!

@brianphilippe4104 4 года назад

I think it is very important to use doppler instrument for BOTH brachial and ankle measurements. Some clinicians use a sphygmomanometer and stethoscope for the brachial and doppler for ankle. I think consistency in measurement methods improve accuracy and our patients deserve the most accurate result.

@Aaronsandova-rs3ns 3 месяца назад

thanks doctor

@JunimiseryaZalukhu 2 года назад

Very useful, Thankyou

@moshfiqurchowdhury3698 5 лет назад

Wonderful

@minoion1234 7 лет назад

nice description

@popitoto 4 месяца назад

Thank you for the demonstration,is this test can be done by a cardiologist?I mentioned to a cardiologisty fatigue and heavy legs but he made only un echogram and electrogram

@chockpea 3 года назад

Can I ask should the soundwave be exactly the same (or close to) for the arm and the ankle? I had a doppler done on lower legs and couldn't hear any sound waves around my ankle and foot but did hear it in upper legs. Thank you.

@ingridsommer2232 2 года назад

Thank you

@DocHemulin 6 лет назад

There are many hand held dopplers to choose from(with different MHz) , how do I know which one to choose?

@cesaretoueg8870 9 лет назад

très intéressant facile et très claire Thanks

@StanfordMedicine25 9 лет назад

thanks and you're welcome!

@annapieropan8696 Год назад

Super!!!!

@luisamartin662 7 месяцев назад

These are two different blood pressure cuffs, right?

@tuqa2798 4 года назад

can i use a stethoscope if there is no available Doppler

@hkp007 Год назад

Can we use stethoscope in place of doppler?

@jimquantic Год назад

Does anyone know? This procedure is NOT covered via Medicare, but I need it done. Best place to have it done on a cash basis?

@Rickytikkitavi 7 месяцев назад

Is this done assuming EF is normal?

@rajasingammuthusamy959 Год назад

When suffering from arterial calcium plaque, and heart attack, why the doctor prescribed calcium-coated statins. How does the calcium coated helps.

@Chris-rq4uu 7 лет назад

Great instructional video. Quick question: I noticed in the video the exam was conducted with the patient supine; should this exam always be conducted with the patient in the supine position? I'm assuming so since it is my understanding that different positions could alter the pressures you are finding in the ankles. Thanks for the clarification.

@StanfordMedicine25 7 лет назад

Yes Chris. Supine is best so pressure's in arm vs legs don't vary due to gravity.

@delen93 9 месяцев назад

Can we measure ABSI , if the waveform in Doppler is mono phasic for DPA and PTA .

@waelhamajjo4076 4 года назад

Hi Does it work in patients with pitting odem . Is it easy to hear?

@Raxorium 3 года назад

Yeah, it's still pretty easy to hear the sound through edema. You could also just press down.

@truthandthewholetruth2436 Год назад

Can someone explain how you calculate it please. Am getting confused. Do you add both arm results and divide the leg result to give your score 🤷🏻‍♂️🤷🏻‍♂️

@shah1494 11 месяцев назад

Check both arms and choose the one with higher reading

@tudvalstone 7 лет назад

Is diastolic pressure not important?

@wholeNwon 5 лет назад

Of course it is but not for this purpose.

@leoaquino1479 9 месяцев назад

❤

@xVAxD0min0xVAx 3 года назад

Great video. P.S. It's "less than" not "less then" XD

@kailashpatel1706 3 года назад

0.8 or less, Ultrasound ASAP..

@roberta8673 Год назад

Simple way- you only need a blood pressure monitor device from Amazon. Just take the reading on your arm then your ankle. Ankle reading divided by arm reading 1.0 and over you’re good. 0.9-0.99 borderline blockage, below 0.9 PAD.