Shared and additional risk factors for decrease of toe-brachial index compared to ankle-brachial index in Japanese patients with diabetes mellitus

Takahara, Mitsuyoshi; Fujiwara, Yuko; Katakami, Naoto; Sakamoto, Fumie; Kaneto, Hideaki; Matsuoka, Taka‐aki; Shimomura, Iichiro

doi:10.1016/j.atherosclerosis.2014.04.014

Cited by 14 publications

(20 citation statements)

References 32 publications

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“…A possible explanation for this result would be the false elevation of ABI due to arterial calcification. In fact, a previous study has reported similar findings [19]. Longer duration of diabetes is also predominantly associated with distal arteriosclerosis [20].…”

Section: Discussionsupporting

confidence: 58%

Risk factors for patients with diabetes who have abnormal toe-brachial index and normal ankle-brachial index

Hamasaki¹,

Hamasaki²

2018

Exp Clin Endocrinol Diabetes

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Section: Discussionsupporting

confidence: 58%

Risk factors for patients with diabetes who have abnormal toe-brachial index and normal ankle-brachial index

Hamasaki¹,

Hamasaki²

2018

Exp Clin Endocrinol Diabetes

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“…The previous study found a relationship between a low ABI and high all-cause and cardiovascular disease mortality in patients with MetS [32]. However, the unchanged ABI in this study may be explained by the fact that ABI is likely to be unreliable because of falsely increased values, or a marked decrease in ankle pressure measurement, caused by medial arterial calcification and incompressibility in advanced-age subject [33]. Meanwhile, because of interference with circulation through the lower extremities, aPWV cannot be estimated properly in patients with PAD [13, 34].…”

Section: Discussion/conclusionmentioning

confidence: 58%

Aortic Pulse Wave Velocity, Ankle-Brachial Index, and Malondialdehyde in Older Adults with or without Metabolic Syndrome

Sri-amad

Huipao

Prasertsri

et al. 2020

Pulse

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Metabolic syndrome is an important health problem associated with both subclinical atherosclerosis and an increased risk of cardiovascular disease and it leads to an elevated total mortality. Aortic pulse wave velocity (aPWV) is widely used for noninvasive assessment of arterial stiffness. Ankle-brachial index (ABI) predicts peripheral arterial disease (PAD) of the lower extremities. In addition, malondialdehyde (MDA) is thought to be involved in the development of arterial stiffness. The present study aimed to: (1) compare aPWV, ABI, and MDA between participants with MetS and those without MetS and (2) investigate the correlation of aPWV and ABI with the components of MetS and MDA. A total of 48 Thai elderly subjects were divided into 2 groups (MetS and non-MetS) according to the parameters set by the International Diabetes Federation (IDF). aPWV and ABI were measured using the VaSera VS-1500 system (Fukuda Denshi Co., Tokyo, Japan). MDA was determined by spectrophotometry. aPWV and MDA were significantly higher in the MetS group compared to the participants in the non-MetS group (9.33 ± 2.72 vs. 7.95 ± 1.37 m/s, p = 0.03, and 0.74 ± 0.71 vs. 0.45 ± 0.20 μmol, p = 0.02, respectively). However, ABI did not differ between the groups. Analysis of the risk factors of aPWV in each group revealed that there were no statistical associations between the components of MetS and MDA and aPWV in both the MetS and the non-MetS groups. A high aPWV is more prevalent among patients with MetS than among those without MetS. Monitoring of aPWV might help to explore potential detection of vascular damage in the elderly.

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“…Em relação aos fatores etiológicos, foram identifi cados: Doença arterial periférica (DAP), duração ou tempo de evolução do diabetes, idade avançada, tabagismo, Insufi ciência Cardíaca Congestiva (ICC), conhecimento defi ciente, elevação das enzimas hepáticas, Acidente vascular cerebral (AVC), nível de hemoglobina glicada, colesterol alto, sedentarismo, sexo, hipertensão, oclusão arterial e baixo IMC, sendo os mais frequentes DAP 19,21,23,27,28,30,31,32 , seguido de neuropatia periférica 15,19,22,28,29,30,31,32 , tempo de evolução do diabetes 15,16,19,23,27,30 , idade avançada 15,17,23,28 e tabagismo 17,19,32 .…”

Section: Resultados E Discussõesunclassified

Comprometimento vascular periférico em pacientes diabéticos: fatores etiológicos e manifestações clínicas

Silva

Ferreira

Pereira

et al. 2021

SDH

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Introdução: A avaliação da perfusão periférica é fundamental para o manejo de pacientes diabéticos, com o intuito de detectar os riscos de amputações e a evolução da cicatrização de feridas Objetivo: Identificar os fatores etiológicos e manifestações clínicas que caracterizam o comprometimento vascular periférico em pacientes diabéticos. Metodologia: Desenvolveu-se uma revisão integrativa em maio de 2019 utilizando as seguintes bases de dados BDENF, CINAHL, LILACS, MEDLINE e PUBMED com os descritores angiopatias diabéticas, diabetes mellitus, pé diabético nos idiomas inglês e português. A amostra foi constituída por 18 artigos. Os fatores etiológicos mais frequentes foram Doença arterial periférica (DAP), tempo de evolução do diabetes, neuropatia periférica, idade avançada e tabagismo. Sobre as manifestações clínicas, apresentaram maior frequência baixo Índice Tornozelo-braquial (ITB), baixo Índice Hálux-braquial (IHB), ausência de pulsos periféricos e retardo na cicatrização. Conclusão: A DAP foi mais evidente e considerada a principal causa de acometimento vascular, verificou-se que o ITB não é uma técnica segura para avaliar a perfusão periférica em pacientes diabéticos e esta deve ser realizada em concomitância ao IHB, alternativa mais confiável. Portanto, é fundamental os profissionais de saúde rastrearem os fatores etiológicos e manifestações clínicas para realizarem uma atenção direcionada para essa população de risco.

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Shared and additional risk factors for decrease of toe-brachial index compared to ankle-brachial index in Japanese patients with diabetes mellitus

Cited by 14 publications

References 32 publications

Risk factors for patients with diabetes who have abnormal toe-brachial index and normal ankle-brachial index

Risk factors for patients with diabetes who have abnormal toe-brachial index and normal ankle-brachial index

Aortic Pulse Wave Velocity, Ankle-Brachial Index, and Malondialdehyde in Older Adults with or without Metabolic Syndrome

Comprometimento vascular periférico em pacientes diabéticos: fatores etiológicos e manifestações clínicas

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