False elevation of ABPI is seen in:
Correct Answer: Calcified vessel walls
Description: Ref. Sabiston Textbook of Surgery. Pg. 497
The ankle-brachial pressure index (ABPI) is the ratio of systolic pressure at the ankle to that in the arm .
The higher of the pressures in the dorsalis pedis and the posterior tibial arteries serves as the numerator ,with the higher systolic pressures between the brachialis serving as the denominator .
Resting ABPI is normally about 1 ,
<0.9 indicated some degree of arterial obstruction
<0.3 suggests imminent necrosis
# Artefacts are due especially due to calcified arteries, which are often incompressible and lead to a falsely high pressure or ABPI result ,especially in diabetics.
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