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Screening",{"tag":2097,"attributes":2098,"content":18},"meta",{"property":2099,"content":2095},"og:title",{"tag":2097,"attributes":2101,"content":18},{"name":2102,"content":2095},"twitter:title",{"tag":2097,"attributes":2104,"content":18},{"name":2105,"content":2106},"description","The MESI mTABLET provides predictive medical assessment with a wide selection of hardware modules, software extensions and different integration 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ABI",{"tag":2097,"attributes":2130,"content":18},{"name":2131,"content":2116},"twitter:image",{"tag":2097,"attributes":2133,"content":18},{"name":2134,"content":2128},"twitter:image:alt",{"tag":2097,"attributes":2136,"content":18},{"property":2137,"content":32},"og:locale",{"tag":2097,"attributes":2139,"content":18},{"property":2140,"content":2141},"og:type","article",{"tag":2097,"attributes":2143,"content":18},{"property":2144,"content":6},"og:site_name",{"tag":2097,"attributes":2146,"content":18},{"property":2147,"content":2148},"article:modified_time","2026-07-20T08:26:03Z",{"tag":2097,"attributes":2150,"content":18},{"property":2151,"content":1653},"article:publisher",{"tag":2097,"attributes":2153,"content":18},{"name":2154,"content":2155},"twitter:card","summary_large_image",[2157,2159,2160,2161,2163,2164],{"value":2158,"locale":34},"why-the-abi-remains-a-key-tool-for-cardiovascular-screening",{"value":2158,"locale":32},{"value":2158,"locale":35},{"value":2162,"locale":33},"pourquoi-lindex-de-pression-systolique-reste-un-outil-cle-du-depistage-cardiovasculaire",{"value":2158,"locale":36},{"value":2158,"locale":37},[2166,2167,2168,2169,2170,2171],{"value":68,"locale":34},{"value":49,"locale":32},{"value":68,"locale":35},{"value":49,"locale":33},{"value":68,"locale":36},{"value":68,"locale":37},"ArticleRecord","2026-07-08T09:29:53+02:00",[2175],{"id":1680,"name":76},"EnTW7FfwREi7k3OXPg9jfw",{"blocks":2178,"links":2206,"value":2208},[2179,2200],{"id":2180,"_modelApiKey":2181,"__typename":2182,"backgroundVariant":2183,"mediaPosition":2184,"isMediaGraphic":68,"backgroundDots":49,"equalizeColumns":49,"title":2185,"tagline":48,"html":2186,"link":18,"media":2187},"KDT0XF8gSOWlzc52_4ii0A","section_cta_image_right","SectionCtaImageRightRecord","White","Right","Dr. Arthur Thery","\u003Cdiv data-slate-fragment=\"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\">\n\u003Cp>According to \u003Cstrong>Dr. Arthur Thery,\u003C\u002Fstrong> vascular physician:\u003C\u002Fp>\n\u003Cblockquote>\n\u003Cp>\u003Cem>\"We often say that women have atypical signs. In reality, they mainly have signs that differ from those we've been trained to recognize.\"\u003C\u002Fem>\u003C\u002Fp>\n\u003C\u002Fblockquote>\n\u003C\u002Fdiv>",{"alt":2185,"url":2188,"width":2189,"height":2190,"responsiveImage":2191},"https:\u002F\u002Fwww.datocms-assets.com\u002F160495\u002F1783496055-dr-thery.png",868,820,{"srcSet":2192,"webpSrcSet":2193,"sizes":2194,"src":2195,"width":543,"height":2196,"aspectRatio":2197,"alt":2185,"title":2185,"bgColor":2198,"base64":2199},"https:\u002F\u002Fwww.datocms-assets.com\u002F160495\u002F1783496055-dr-thery.png?auto=compress&crop=focalpoint&dpr=0.25&fit=crop&w=1920 480w,https:\u002F\u002Fwww.datocms-assets.com\u002F160495\u002F1783496055-dr-thery.png?auto=compress&crop=focalpoint&fit=crop&w=1920 1920w","https:\u002F\u002Fwww.datocms-assets.com\u002F160495\u002F1783496055-dr-thery.png?auto=compress&crop=focalpoint&dpr=0.25&fit=crop&fm=webp&w=1920 480w,https:\u002F\u002Fwww.datocms-assets.com\u002F160495\u002F1783496055-dr-thery.png?auto=compress&crop=focalpoint&fit=crop&fm=webp&w=1920 1920w","(max-width: 1920px) 100vw, 1920px","https:\u002F\u002Fwww.datocms-assets.com\u002F160495\u002F1783496055-dr-thery.png?auto=compress&crop=focalpoint&fit=crop&w=1920",1814,1.0584343991179714,"#c5917b","data:image\u002Fjpeg;base64,\u002F9j\u002F4AAQSkZJRgABAQAAAQABAAD\u002F2wCEAAoHBwgHBgoICAgLFgoXDhgQFxcNDh0dFRUZHR8fJBYTHh4dHyslGiIoHRUWJDUxKC0vMjIyGSI4PTcwPC0xMi8BCgsLDg0OHA0RHS8mIig7Lzs1Ly8vLzUvLy8vNTs1Ly8vLy8vLy8vNS8vNS8vLy8vLy8vLy8vNS8vLy8vLy8vL\u002F\u002FAABEIABcAGAMBIgACEQEDEQH\u002FxAAZAAEBAAMBAAAAAAAAAAAAAAAHAAQFBgH\u002FxAAiEAAABQQCAwEAAAAAAAAAAAAAAQIDBQQGERIhQiIxQRT\u002FxAAYAQADAQEAAAAAAAAAAAAAAAABAgQFAP\u002FEABkRAAIDAQAAAAAAAAAAAAAAAAACASExA\u002F\u002FaAAwDAQACEQMRAD8ARJS4mKePUaFFnAFromnKyRRr62HeSUBVIjVLWs8YBhKaM1yEmos7Boajk5jjbjyztJrY+ohgwRurtVvQ+NR4M52seUNxJU7lTCL8vgD5aAccmEmbncQhVGBQbYOO\u002FLazSM865EIQhfQn\u002F9k=",{"id":2201,"_modelApiKey":2202,"__typename":2203,"title":2204,"html":2205},"Xv270OgBSgu-aeTaZsSxlQ","resource","ResourceRecord","References","\u003Col id=\"reference-1\" style=\"margin-top: 0in;\" start=\"1\" type=\"1\">\n\u003Cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo1; tab-stops: list .5in;\">\u003Cspan style=\"mso-ansi-language: SL;\">World Health Organization (WHO). Cardiovascular diseases (CVDs). 2023\u003C\u002Fspan>\u003C\u002Fli>\n\u003Cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo1; tab-stops: list .5in;\">\u003Cspan style=\"mso-ansi-language: SL;\">\u003C\u002Fspan>\u003Cspan style=\"mso-ansi-language: SL;\">Song P, Rudan D, Zhu Y, et al. Global, regional, and national prevalence and risk factors for peripheral artery disease in 2015. The Lancet Global Health. 2019;7(8):e1020-e1030.\u003C\u002Fspan>\u003C\u002Fli>\n\u003Cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo1; tab-stops: list .5in;\">\u003Cspan style=\"mso-ansi-language: SL;\">\u003Co:p>\u003C\u002Fo:p>\u003C\u002Fspan>\u003Cspan style=\"mso-ansi-language: SL;\">Criqui MH, Aboyans V. Epidemiology of peripheral artery disease. Circulation Research. 2015;116(9):1509-1526.\u003C\u002Fspan>\u003C\u002Fli>\n\u003Cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo1; tab-stops: list .5in;\">\u003Cspan style=\"mso-ansi-language: SL;\">\u003Co:p>\u003C\u002Fo:p>\u003C\u002Fspan>\u003Cspan style=\"mso-ansi-language: SL;\">Fédération Française de Cardiologie. Cardiovascular disease in women: overview and prevention challenges. 2024.\u003C\u002Fspan>\u003C\u002Fli>\n\u003Cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo1; tab-stops: list .5in;\">\u003Cspan style=\"mso-ansi-language: SL;\">\u003Co:p>\u003C\u002Fo:p>\u003C\u002Fspan>\u003Cspan style=\"mso-ansi-language: SL;\">Libby P. The changing landscape of atherosclerosis. Nature. 2021;592(7855):524-533.\u003C\u002Fspan>\u003C\u002Fli>\n\u003Cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo1; tab-stops: list .5in;\">\u003Cspan style=\"mso-ansi-language: SL;\">\u003Co:p>\u003C\u002Fo:p>\u003C\u002Fspan>\u003Cspan style=\"mso-ansi-language: SL;\">Aboyans V, Ricco JB, Bartelink MEL, et al. 2017 ESC Guidelines on the Diagnosis and Treatment of Peripheral Arterial Diseases. European Heart Journal. 2018;39(9):763-816.\u003C\u002Fspan>\u003C\u002Fli>\n\u003Cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo1; tab-stops: list .5in;\">\u003Cspan style=\"mso-ansi-language: SL;\">\u003Co:p>\u003C\u002Fo:p>\u003C\u002Fspan>\u003Cspan style=\"mso-ansi-language: SL;\">Gerhard-Herman MD, Gornik HL, Barrett C, et al. 2016 AHA\u002FACC Guideline on the Management of Patients With Lower Extremity Peripheral Artery Disease. Circulation. 2017;135:e726-e779.\u003C\u002Fspan>\u003C\u002Fli>\n\u003Cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo1; tab-stops: list .5in;\">\u003Cspan style=\"mso-ansi-language: SL;\">\u003Co:p>\u003C\u002Fo:p>\u003C\u002Fspan>\u003Cspan style=\"mso-ansi-language: SL;\">Wanhainen A, Verzini F, Van Herzeele I, et al. European Society for Vascular Surgery (ESVS) 2019 Clinical Practice Guidelines on the Management of Abdominal Aorto-iliac Artery Aneurysms. European Journal of Vascular and Endovascular Surgery. 2019;57(1):8-93.\u003C\u002Fspan>\u003C\u002Fli>\n\u003Cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo1; tab-stops: list .5in;\">\u003Cspan style=\"mso-ansi-language: SL;\">\u003Co:p>\u003C\u002Fo:p>\u003C\u002Fspan>\u003Cspan style=\"mso-ansi-language: SL;\">Hinchliffe RJ, Forsythe RO, Apelqvist J, et al. Guidelines on diagnosis, prognosis, and management of peripheral artery disease in patients with a foot ulcer and diabetes (IWGDF 2023). Diabetes Metabolism Research and Reviews. 2024;40(S1):e3709.\u003Co:p>\u003C\u002Fo:p>\u003C\u002Fspan>\u003C\u002Fli>\n\u003C\u002Fol>\n\u003Col id=\"reference-1\" style=\"margin-top: 0in;\" start=\"1\" type=\"1\">\u003C\u002Fol>",[2207],{"_modelApiKey":74,"__typename":73,"id":72,"slug":75,"title":76},{"schema":2209,"document":2210},"dast",{"type":2211,"children":2212},"root",[2213,2221,2233,2237,2241,2243,2247,2252,2256,2260,2264,2273,2277,2306,2310,2315,2319,2323,2327,2365,2370,2374,2378,2382,2386,2390,2397,2401,2405,2410,2414,2418,2422,2426,2431,2435,2439,2443,2447,2451,2456,2460,2464,2471,2475,2480,2484,2495,2499,2504,2542,2547,2554,2561,2568,2575,2582],{"type":2214,"level":464,"children":2215},"heading",[2216],{"type":2217,"marks":2218,"value":2220},"span",[2219],"strong","A common, underdiagnosed disease associated with high cardiovascular risk",{"type":2222,"children":2223},"paragraph",[2224,2226,2231],{"type":2217,"value":2225},"Cardiovascular disease remains the leading cause of death worldwide, accounting for nearly 18 million deaths each year ",{"url":2227,"type":12,"children":2228},"\u002Finsights\u002Fwhy-the-abi-remains-a-key-tool-for-cardiovascular-screening#references",[2229],{"type":2217,"value":2230},"(1)",{"type":2217,"value":2232},". Among these conditions, peripheral arterial disease (PAD) affects more than 230 million people globally (2).",{"type":2222,"children":2234},[2235],{"type":2217,"value":2236},"Yet this condition remains largely underdiagnosed. It is estimated that a significant proportion of affected patients are asymptomatic or present with nonspecific symptoms, delaying diagnosis and management (3).",{"type":2222,"children":2238},[2239],{"type":2217,"value":2240},"This issue is particularly significant in certain at-risk populations, notably women. Cardiovascular disease is now the leading cause of death among women in France, ahead of all cancers combined (4).",{"item":2180,"type":2242},"block",{"type":2222,"children":2244},[2245],{"type":2217,"value":2246},"This difference in clinical presentation contributes to a diagnostic delay that remains common in women, both for coronary artery disease and for peripheral arterial disease.",{"type":2214,"level":464,"children":2248},[2249],{"type":2217,"marks":2250,"value":2251},[2219],"PAD: a local manifestation of a systemic disease",{"type":2222,"children":2253},[2254],{"type":2217,"value":2255},"PAD results from a progressive atherosclerotic process leading to thickening of the arterial wall and narrowing of blood vessels (5).",{"type":2222,"children":2257},[2258],{"type":2217,"value":2259},"However, it is essential to view this condition as a systemic disease rather than a localized condition of the lower limbs.",{"type":2222,"children":2261},[2262],{"type":2217,"value":2263},"As Dr. Thery explains:",{"type":2265,"children":2266},"blockquote",[2267],{"type":2222,"children":2268},[2269],{"type":2217,"marks":2270,"value":2272},[2271],"emphasis","\"It's a systemic disease. Theoretically, all arteries can be affected by this mechanism.\"",{"type":2222,"children":2274},[2275],{"type":2217,"value":2276},"Atherosclerosis can thus affect several vascular territories:",{"type":2278,"style":2279,"children":2280},"list","bulleted",[2281,2288,2294,2300],{"type":2282,"children":2283},"listItem",[2284],{"type":2222,"children":2285},[2286],{"type":2217,"value":2287},"the carotid arteries, with a risk of stroke or transient ischemic attack (TIA);",{"type":2282,"children":2289},[2290],{"type":2222,"children":2291},[2292],{"type":2217,"value":2293},"the coronary arteries, potentially leading to myocardial infarction;",{"type":2282,"children":2295},[2296],{"type":2222,"children":2297},[2298],{"type":2217,"value":2299},"the arteries of the lower limbs;",{"type":2282,"children":2301},[2302],{"type":2222,"children":2303},[2304],{"type":2217,"value":2305},"the abdominal aorta, with the risk of abdominal aortic aneurysm (5,6).",{"type":2222,"children":2307},[2308],{"type":2217,"value":2309},"This systemic dimension explains why the presence of PAD should be considered a major marker of overall cardiovascular risk (6).",{"type":2214,"level":464,"children":2311},[2312],{"type":2217,"marks":2313,"value":2314},[2219],"A silent disease requiring active screening",{"type":2222,"children":2316},[2317],{"type":2217,"value":2318},"Atherosclerosis is often called a \"silent killer\" due to its slow, asymptomatic progression over many years.",{"type":2222,"children":2320},[2321],{"type":2217,"value":2322},"Clinical manifestations generally appear only when arterial lesions are already advanced, exposing patients to potentially serious complications (5,6).",{"type":2222,"children":2324},[2325],{"type":2217,"value":2326},"This silent progression justifies the importance of early screening in patients with cardiovascular risk factors such as:",{"type":2278,"style":2279,"children":2328},[2329,2335,2341,2347,2353,2359],{"type":2282,"children":2330},[2331],{"type":2222,"children":2332},[2333],{"type":2217,"value":2334},"smoking;",{"type":2282,"children":2336},[2337],{"type":2222,"children":2338},[2339],{"type":2217,"value":2340},"high blood pressure;",{"type":2282,"children":2342},[2343],{"type":2222,"children":2344},[2345],{"type":2217,"value":2346},"diabetes;",{"type":2282,"children":2348},[2349],{"type":2222,"children":2350},[2351],{"type":2217,"value":2352},"dyslipidemia;",{"type":2282,"children":2354},[2355],{"type":2222,"children":2356},[2357],{"type":2217,"value":2358},"advanced age;",{"type":2282,"children":2360},[2361],{"type":2222,"children":2362},[2363],{"type":2217,"value":2364},"history of cardiovascular events (6,7).",{"type":2214,"level":464,"children":2366},[2367],{"type":2217,"marks":2368,"value":2369},[2219],"ABI: a simple test that can change a patient's care pathway",{"type":2222,"children":2371},[2372],{"type":2217,"value":2373},"Contrary to certain misconceptions, the initial diagnosis of PAD does not necessarily rely on complex imaging studies.",{"type":2222,"children":2375},[2376],{"type":2217,"value":2377},"The Ankle-Brachial Index (ABI) is the first-line test recommended by international scientific societies (6,7).",{"type":2222,"children":2379},[2380],{"type":2217,"value":2381},"This test is based on comparing blood pressure measured at the ankle with that measured at the arm.",{"type":2222,"children":2383},[2384],{"type":2217,"value":2385},"An ABI below 0.90 is considered diagnostic of PAD (6,7).",{"type":2222,"children":2387},[2388],{"type":2217,"value":2389},"According to Dr. Arthur Thery:",{"type":2265,"children":2391},[2392],{"type":2222,"children":2393},[2394],{"type":2217,"marks":2395,"value":2396},[2271],"\"If you just do that, and you have an ABI below 0.9, you've won. You've diagnosed peripheral arterial disease.\"",{"type":2222,"children":2398},[2399],{"type":2217,"value":2400},"Beyond diagnosing PAD, ABI makes it possible to identify a patient at very high cardiovascular risk and to initiate a comprehensive secondary prevention approach.",{"type":2222,"children":2402},[2403],{"type":2217,"value":2404},"The discovery of a pathological ABI should therefore lead to screening for other atherosclerotic conditions, optimizing risk factor control, and strengthening cardiovascular follow-up (6).",{"type":2214,"level":464,"children":2406},[2407],{"type":2217,"marks":2408,"value":2409},[2219],"Don't stop at ABI: consider abdominal aortic aneurysm",{"type":2222,"children":2411},[2412],{"type":2217,"value":2413},"While ABI is an excellent screening tool, it does not identify all manifestations of atherosclerosis.",{"type":2222,"children":2415},[2416],{"type":2217,"value":2417},"Dr. Thery emphasizes the importance of not neglecting screening for abdominal aortic aneurysm in certain at-risk patients.",{"type":2222,"children":2419},[2420],{"type":2217,"value":2421},"European guidelines recommend targeted ultrasound screening in older men with cardiovascular risk factors, particularly current or former smokers (8).",{"type":2222,"children":2423},[2424],{"type":2217,"value":2425},"Abdominal aortic aneurysm remains asymptomatic in most cases until rupture, a complication associated with extremely high mortality (8).",{"type":2214,"level":464,"children":2427},[2428],{"type":2217,"marks":2429,"value":2430},[2219],"What to do when ABI is above 1.4?",{"type":2222,"children":2432},[2433],{"type":2217,"value":2434},"Interpreting ABI also requires understanding its limitations.",{"type":2222,"children":2436},[2437],{"type":2217,"value":2438},"An ABI above 1.40 generally indicates arterial incompressibility related to medial arterial calcification, a situation frequently observed in diabetic, renal failure, or very elderly patients (6,9).",{"type":2222,"children":2440},[2441],{"type":2217,"value":2442},"In these situations, toe pressure is a particularly useful diagnostic complement.",{"type":2222,"children":2444},[2445],{"type":2217,"value":2446},"Since digital arteries are generally less affected by medial calcification, toe pressure measurement allows for a more reliable assessment of distal hemodynamic status (9).",{"type":2222,"children":2448},[2449],{"type":2217,"value":2450},"This measurement is especially valuable in patients with wounds, trophic disorders, or suspected critical limb ischemia.",{"type":2214,"level":464,"children":2452},[2453],{"type":2217,"marks":2454,"value":2455},[2219],"Toward an integrated approach to cardiovascular screening",{"type":2222,"children":2457},[2458],{"type":2217,"value":2459},"For Dr. Thery, PAD should not be considered an isolated condition but rather a gateway to broader cardiovascular assessment.",{"type":2222,"children":2461},[2462],{"type":2217,"value":2463},"When PAD is diagnosed, the first step is to look for potential involvement in other vascular territories.",{"type":2265,"children":2465},[2466],{"type":2222,"children":2467},[2468],{"type":2217,"marks":2469,"value":2470},[2271],"\"When I diagnose PAD, the first thing I do is offer the patient screening for other potential conditions.\"",{"type":2222,"children":2472},[2473],{"type":2217,"value":2474},"Combining several complementary tests, particularly ECG and ABI, provides a more complete picture of a patient's cardiovascular risk and improves care pathway coordination.",{"type":2214,"level":464,"children":2476},[2477],{"type":2217,"marks":2478,"value":2479},[2219],"Conclusion",{"type":2222,"children":2481},[2482],{"type":2217,"value":2483},"Peripheral arterial disease remains a common condition, underdiagnosed and strongly associated with cardiovascular morbidity and mortality.",{"type":2222,"children":2485},[2486,2488,2493],{"type":2217,"value":2487},"Thanks to its simplicity, low cost, and prognostic value, the ",{"item":72,"type":2489,"children":2490},"itemLink",[2491],{"type":2217,"marks":2492,"value":76},[2219],{"type":2217,"value":2494}," remains one of the most effective tools for early identification of patients at high cardiovascular risk (6,7).",{"type":2222,"children":2496},[2497],{"type":2217,"value":2498},"Used within a comprehensive prevention strategy, it not only screens for PAD but also enables earlier detection of atherosclerotic disease as a whole and its potential complications.",{"type":2214,"level":464,"children":2500},[2501],{"type":2217,"marks":2502,"value":2503},[2219],"Key takeaways",{"type":2278,"style":2279,"children":2505},[2506,2512,2518,2524,2530,2536],{"type":2282,"children":2507},[2508],{"type":2222,"children":2509},[2510],{"type":2217,"value":2511},"PAD affects more than 230 million people worldwide (2).",{"type":2282,"children":2513},[2514],{"type":2222,"children":2515},[2516],{"type":2217,"value":2517},"It is a local manifestation of systemic atherosclerotic disease (5,6).",{"type":2282,"children":2519},[2520],{"type":2222,"children":2521},[2522],{"type":2217,"value":2523},"Women remain underdiagnosed due to clinical presentations that often differ from those historically described (4).",{"type":2282,"children":2525},[2526],{"type":2222,"children":2527},[2528],{"type":2217,"value":2529},"ABI is the recommended first-line test for PAD screening (6,7).",{"type":2282,"children":2531},[2532],{"type":2222,"children":2533},[2534],{"type":2217,"value":2535},"A pathological ABI identifies patients at very high cardiovascular risk (6).",{"type":2282,"children":2537},[2538],{"type":2222,"children":2539},[2540],{"type":2217,"value":2541},"Toe pressure is particularly useful in patients with medial calcification or an ABI above 1.4 (9).",{"type":2214,"level":464,"children":2543},[2544],{"type":2217,"marks":2545,"value":2546},[2219],"FAQ – ABI and PAD screening",{"type":2222,"children":2548},[2549,2552],{"type":2217,"marks":2550,"value":2551},[2219],"Why is PAD considered a systemic disease?",{"type":2217,"value":2553},"\nBecause atherosclerosis can simultaneously affect several vascular territories, including the coronary arteries, carotid arteries, abdominal aorta, and lower limb arteries (5,6).",{"type":2222,"children":2555},[2556,2559],{"type":2217,"marks":2557,"value":2558},[2219],"What ABI threshold is used to diagnose PAD?",{"type":2217,"value":2560},"\nAn ABI below 0.90 is considered diagnostic of peripheral arterial disease (6,7).",{"type":2222,"children":2562},[2563,2566],{"type":2217,"marks":2564,"value":2565},[2219],"Why measure toe pressure?",{"type":2217,"value":2567},"\nToe pressure is particularly useful in patients with medial arterial calcification, when ABI becomes difficult to interpret (9), for example in diabetic and chronic kidney disease patients.",{"type":2222,"children":2569},[2570,2573],{"type":2217,"marks":2571,"value":2572},[2219],"Why screen for abdominal aortic aneurysm in certain patients?",{"type":2217,"value":2574},"\nBecause this condition is generally asymptomatic until rupture and shares the same risk factors as atherosclerosis (8).",{"type":2222,"children":2576},[2577,2580],{"type":2217,"marks":2578,"value":2579},[2219],"Is ABI reserved for vascular specialists?",{"type":2217,"value":2581},"\nNo. ABI can be useful in general practice, cardiology, diabetology, or any specialty managing patients at cardiovascular risk 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