Toe-Brachial Index

in Vascular Diagnostics and Imaging

Applied

Type

Reinforcement

Confidence

95%

Created

Mar 19, 2026

Evidence

1 source

Rationale

The 2025 ACC Scientific Statement on PAD in diabetes provides contemporary, high-level evidence that reinforces the existing textbook recommendations for TBI use in this specific population and confirms the established diagnostic cutoff.

Evidence

Das SR et al. Management of Peripheral Artery Disease in Adults With Diabetes: 2025 ACC Scientific Statement: A Report of the American College of Cardiology. J Am Coll Cardiol. 2025. PMID: 41405527.
Verified source
PubMedDOI

Content Changes

* **Advantage:** less affected by medial calcification.
* **Useful:** diabetes, elderly, dialysis patients. [@acc2025]
* **Cutoff:** <0.7 = peripheral arterial disease (PAD). [@potier2011] [@aboyans2012] [@aha2016] [@acc2025]
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