Post-Exercise ABI Expands Clinical, Prognostic Information
(HealthDay News) — For individuals with normal and abnormal resting ankle-brachial index (ABI), post-exercise ABI expands clinical and prognostic information, according to a study published in the August 17 issue of JACC: Cardiovascular Interventions.
Tarek A. Hammad, MD, from the Cleveland Clinic, and colleagues examined the effect of post-exercise ABI on the incidence of lower extremity (LE) revascularization, cardiovascular outcomes, and all-cause mortality. Data were included for 2,791 consecutive patients with ABI testing in four groups: normal resting (NR)/normal post-exercise (NE); NR/abnormal post-exercise (AE); abnormal resting (AR)/NE; and AR/AE.
The researchers found that the NR/AE group had increased LE revascularization compared with NR/NE (propensity-matched adjusted hazard ratio [HR], 6.63; 95% confidence interval [CI], 3.13–14.04), but no differences in major adverse cardiovascular events (MACE) or all-cause mortality. Compared with AR/NE, the AR/AE group had increased LE revascularization (adjusted HR, 1.59; 95% CI, 1.11–2.28), which persisted after propensity matching (adjusted HR, 2.32; 95% CI, 1.52–3.54). AR/AE also had a significant increase in MACE (adjusted HR, 1.44; 95% CI, 1.09–1.90) and a trend toward increased all-cause mortality (adjusted HR, 1.37; 95% CI, 0.99–1.88), compared with NR/NE, but the AR/NE group did not.
"Post-exercise ABI appears to offer both clinical (LE revascularization) and prognostic information in those with normal and abnormal resting ABI," the authors write.
One author disclosed financial ties to Summit Doppler Systems.