Prevalence of peripheral arterial disease in high-risk patients using ankle-brachial index in general practice: a cross-sectional study

Cacoub, Patrice; Cambou, J.-P.; Kownator, Serge; Belliard, Jean-Pierre; Bérégi, J.P.; Branchereau, A; Carpentier, Patrick; Léger, Philippe; Luizy, F.; Maïza, D; Mihci, E.; Herrmann, Marie-Annick; Priollet, P.

doi:10.1111/j.1742-1241.2008.01953.x

Cited by 63 publications

(41 citation statements)

References 32 publications

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“…(17,18) According to our results, older patients, men, patients with diabetes mellitus or patients with renal insufficiency have a higher risk to present with critical limb ischaemia. Health professionals should be aware of the causes leading to such a highly compromised situation.…”

Section: Discussionmentioning

confidence: 64%

Impact of cardiovascular risk factors on severity of peripheral artery disease

et al. 2015

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Section: Discussionmentioning

confidence: 64%

Impact of cardiovascular risk factors on severity of peripheral artery disease

et al. 2015

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“…KONIN [8] had found that the total hypercholesterolemia was correlated with occurred of the PAD in 40.9% of the cases. CACOUB [15] had found 26.9% of hypercholesterolemia among subjects with PAD in his population of study with a statistically significant correlation.…”

Section: Discussionmentioning

confidence: 99%

“…ROUL [16] had found a prevalence of 40% of PAD among coronary patients. In CAPRIE study, including nearly 20.000 patients, 15.2% of the patients with a coronary pathology were with lower limb arteriopathy [17]. In the PARTNERS (PAD awareness, Risk and Treatment: new Resources for Survival) study, 16% among the coronary patients presented with chronical obstructive arterial disease [18].…”

Section: Discussionmentioning

confidence: 99%

Screening of Peripheral Artery Disease by Systematic Measurement of Ankle-Brachial Index among Diabetic Patients in Dakar

Leye¹,

Ndiaye²,

Diack³

et al. 2017

JDM

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Introduction: The peripheral artery disease (PAD) is one of the chronic and frightening vascular complications of the diabetes whose tracking can be done by the Ankle-Brachial Index (ABI) measurement. We conducted in this context a study which consisted in measuring the ABI among hospitalized diabetic patients at Teaching Hospital of Pikine in Dakar, over 18 months' duration. The aim was to determine the prevalence and evaluate factors correlated to the presence of the PAD. Patients and Method: This cross-sectional descriptive study interested the whole of diabetic patients hospitalized in Internal Medicine/Endocrinology Department, from January 2013 to June 2014. We carried out a complete clinical examination associated with ABI measurement by a Doppler probe for each included patient after having collected the clinical and paraclinical data. Results: Our population of study comprised 209 diabetic patients with a female predominance (126, 60.3%). The sex-ratio man/woman was 0.6. The median age of the population of study was 54 ± 2 years. In our series, 157 (75.1%) patients discovered their diabetes with the waning of an affection while the 52 (24.9%) other patients discovered their diabetes at the time of a systematic assessment. The PAD appeared by an intermittent claudication among 38 patients (18.2%). The ABI was normal for 126 patients (60.3%). The ABI was low for 51 patients (24.4%), unilateral in 3.8% of cases and bilateral in 20.6% of cases. The ABI was high among 32 patients (15.3%), unilateral in 7.2% of cases and bilateral in 8.1% of cases. The ABI extremes values were 0.11 and 2. In the population of study, 46 patients (22%) had a well-compensated PAD. The PAD was low compensated for 3 patients (1.4%) and severe for 2 patients (1%). The ABI was more frequent and significantly among women than men, with 32 cases (25.4%) against 19 (22.9%) cases (p = 0.021). The proportion of low ABI was more important 322 Journal of Diabetes Mellitus among patients whose diabetes had evolved for more than 5 years (42.3% of cases) with a peak of frequency in the duration of 6 -10 years (47.7% of cases). Conclusion: The PAD global prevalence among hospitalized diabetic patients appeared high with 24.4% patients presenting low ABI. Its early diagnosis among subjects at risk as for our study population allowed identifying asymptomatic subjects having another cardiovascular damage. Thus, the screening of obstructive arteriopathy of lower limb PAD by the measurement of ABI should be applied to all diabetic patients for a better assessment of atherosclerotic complication.

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“…Cacoub et al observed that patients aged 74 and above have lower ABI values and a higher risk for peripheral artery disease [8].…”

Section: Discussionmentioning

confidence: 99%

Assessment of ankle–brachial pressure index in elderly patients as screening for lower extremity ischemia in the context of medical test method used

Głowacka

Rossa

Szewczyk

et al. 2018

Pomeranian J Life Sci

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Introduction:The ankle-brachial pressure index (ABI) is the ratio of the systolic blood pressure of the dorsalis pedis or posterior tibial arteries to the upper arm. The study attempted to identify factors which determine the ABI measurement results. Materials and methods: The research subject was the measurement of the ankle-brachial pressure index by means of continuous Doppler (cwD) and BOSO ABI-SYSTEM 100 apparatus (ABIs) in patients suffering from chronic venous insufficiency, lower extremity ischemia and diabetes. 100 outpatients participated in the study, which was conducted in the Chronic Injury Clinic of No. 1 Ludwik Rydygier University Hospital in Bydgoszcz between 28 th June 2016 and 6 th April 2017. Results: The average ABI value among all the examined patients was: right extremity -0.999 (cwD), 0.954 (ABIs); left extremity -0.980 (cwD), 0.945 (ABIs); with standard deviation of 32.9% (cwD) and 30.1% (ABIs) for the right extremity, and 34.2% (cwD) and 32.1% (ABIs) for the left extremity, which shows a considerable result differentiation. On average, the diabetes patients had the highest index -1.163 (cwD) for the right extremity and 1.196 (cwD) for the left extremity -while the arteriosclerosis patients had the lowest index -0.750 for the right extremity and 0.684 for the left extremity (cwD). Conclusions:The ABI values measured by continuous Doppler and BOSO ABI-SYSTEM 100 apparatus did not differ in a statistically significant way mainly in the case of the patients with chronic venous insufficiency and lower extremity arteriosclerosis. However, the values differed at the lower right and left extremities. The patients' sex, age, education and clinical analysis partly determined the ABI test results. The patients aged 61-70 and the oldest patients had the lowest ABI values.

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Prevalence of peripheral arterial disease in high-risk patients using ankle-brachial index in general practice: a cross-sectional study

Cited by 63 publications

References 32 publications

Impact of cardiovascular risk factors on severity of peripheral artery disease

Impact of cardiovascular risk factors on severity of peripheral artery disease

Screening of Peripheral Artery Disease by Systematic Measurement of Ankle-Brachial Index among Diabetic Patients in Dakar

Assessment of ankle–brachial pressure index in elderly patients as screening for lower extremity ischemia in the context of medical test method used

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