Índice tornozelo-braço nos pacientes submetidos à programa de exercício supervisionado

Abstract

Introduction: the ankle-brachial index (ABI) is the first, the simplest and the most important non-invasive test for the detection of peripheral arterial disease (PAD). Objective: to measure the integrity of the arterial circulation of the lower limbs. Evaluate and correlate ABI with the completion of supervised exercise program (SEP) in individuals who presented the main indications for the examination, taking into account the risk profile of the population. Method: twenty-five patients participating in the SEP with indications of ITB, with a mean age of 66.6 years (52-83), all attending the SEP for at least six months. The systolic pressure was measured in the arm and systolic blood pressure in the ankles before and after the completion of the SEP in ergometer cycle for lower limbs or in a treadmill. The ABI was calculated for each leg and the highest was used as the numerator, and the highest value found in the brachial measures as the denominator. Results: after the examination the results were varied to increase, decrease and maintain the ABI values regardless of age, sex and diseases present in the patients studied. Conclusion: no patient had ABI≤0.90, both pre and post-exercise. The exercise proved to be beneficial for the irrigation of the lower limbs.