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RETROSPECTIVE EVALUATION OF ANKLE-BRACHIAL INDEX AND FRAMINGHAM RISK SCORES IN INDIVIDUALS UNDERGOING PERIODIC HEALTH EXAMINATION

RETROSPECTIVE EVALUATION OF ANKLE-BRACHIAL INDEX AND FRAMINGHAM RISK SCORES IN INDIVIDUALS UNDERGOING PERIODIC HEALTH EXAMINATION

RUHUŞEN KUTLU, Ahmet Öksüz

  •  Year : 2025
  •  Vol : 5
  •  Issue : 3
  •  Page : 93-100
Objective: The Ankle-Brachial Index (ABI) serves as an indicator for the diagnosis of peripheral arterial disease and general atherosclerosis. Framingham risk score (FRS) is among the validated measures used to evaluate 10-year cardiovascular risk. This study aimed to assess the ABI and FRS in patients who presented outpatient clinic for periodic health examinations. Methods: This retrospective study examined the medical files of 580 patients aged ≥18 who presented to the Family Medicine outpatient clinic between June 25, 2013, and June 25, 2016, for any reason. The FRS was calculated automatically using a computer-based tool. Two distinct FRS values, FRS1 (LDL-based) and FRS2 (total cholesterol-based), were generated by utilizing both LDL cholesterol and total cholesterol levels. The ABI was calculated as the ratio of ankle systolic blood pressure to brachial systolic blood pressure. Results: Of the 580 patients, 58.3% (n=338) were female, and 41.7% (n=242) were male. The mean value of ABI in our study was 1.13±0.10. A low ABI (≤0.97) was identified in 15 patients (2.6%). A statistically significant association was determined between ABI and both FRS1 and FRS2 (p<0.001, p<0.001). A statistically significant relationship was found between FRS1 and Body Mass Index (BMI) (p=0.002). A comparison of FRS1 and FRS2 by gender demonstrated a significantly higher cardiovascular risk in men than in women (p<0.001). Conclusion: The current study determined that the risk of coronary artery disease (CAD) was significantly higher in individuals with ABI ≤0.97 compared to those with ABI >0.97. The findings of this study demonstrated that the ABI score with FRS can be utilized as a cost-effective and effective marker for assessing cardiovascular risk during periodic health examinations in primary care within our country.
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Description : Yazarların hiçbiri, bu makalede bahsedilen herhangi bir ürün, aygıt veya ilaç ile ilgili maddi çıkar ilişkisine sahip değildir. Araştırma, herhangi bir dış organizasyon tarafından desteklenmedi.Yazarlar çalışmanın birincil verilerine tam erişim izni vermek ve derginin talep ettiği takdirde verileri incelemesine izin vermeyi kabul etmektedirler. None of the authors, any product mentioned in this article, does not have a material interest in the device or drug. Research, not supported by any external organization. grant full access to the primary data and, if requested by the magazine they agree to allow the examination of data.
RETROSPECTIVE EVALUATION OF ANKLE-BRACHIAL INDEX AND FRAMINGHAM RISK SCORES IN INDIVIDUALS UNDERGOING PERIODIC HEALTH EXAMINATION, Research Article,
, Vol. 5 (3)
Received : 27.01.2025, Accepted : 15.08.2025 , Published Online : 12.12.2025
Mevlana Tıp Bilimleri
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E-ISSN: 2757-976X ;
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