Smart ABI/TBI and Sudomotor TestThe fast, simple, and accurate ankle brachial index plus toe brachial index and an additional diagnostic test for peripheral autonomic neuropathy.

The Smart-LEDA+ solution offers clinical teams the ability to perform rapid non-invasive arterial studies and sudomotor function tests with the added accuracy of TBI and microvascular data. Sudomotor function testing is an additional tool for diagnosing peripheral autonomic neuropathy. All Smart-ABI solutions enable your staff to test all high-risk patients and facilitate collaborative care in an easy-to-operate and reproducible system.

Why is My Doctor Requesting ABI/TBI?

Ankle Brachial Index (ABI) and Toe Brachial Index (TBI) is a type of noninvasive vascular study used to test patients for Peripheral Artery Disease (PAD).

ABI compares the blood pressures in a patient’s ankle and arteries with the arteries in their arms in order to indicate if the patient is receiving adequate blood flow in their feet.

TBI is defined as the ratio between the systolic blood pressure in the right or left toe and the higher of the systolic pressure in the right or left arms. In order to indicate if the patient is receiving adequate blood flow in their feet

Why is My Doctor Requesting Sudomotor Function Tests?

Sudomotor function tests are used as a type of noninvasive peripheral nerve test for Peripheral Autonomic Neuropathy.

Sudomotor tests use a variety of noninvasive methods to test a patient’s sweat production in order to indicate if the autonomic nerves are functioning properly.

What is Peripheral Artery Disease (PAD)?

Peripheral Artery Disease (PAD) is a disease in which the patient has reduced blood flow in the arms or legs (usually the legs) and is often caused by a buildup of fatty deposits in the arteries (atherosclerosis).

What is Peripheral Autonomic Neuropathy?

Peripheral Autonomic Neuropathy is a disease in which the patient has damage to the nerves that control automatic bodily functions on the periphery. This nerve damage affects the messages sent between the brain and the autonomic nervous system in the hands and feet and can affect the sweat glands and blood vessels.

Who is at Risk?

Peripheral Artery Disease Risk Factors

  • Diabetes
  • Smoking (cigarette)
  • 50+
  • High Blood Pressure
  • High Cholesterol
  • Obesity
  • Family History

Peripheral Autonomic Neuropathy Risk Factors

  • Diabetes
  • Peripheral Arterial Disease
  • Autoimmune Diseases
  • Kidney and Liver Disorders
  • Hypothyroidism

What Should I Do if I Suspect I Have Either of These Diseases?

If you suspect that you have peripheral artery disease or peripheral autonomic neuropathy, you should contact our podiatrists in Grapevine or Keller, TX, and request to be tested right away.

To schedule a consultation with either Dr. Nichols or Dr. Harvey, fill out our online contact form now or give us a call at 817-481-4000.