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High prevalence of peripheral arterial disease in Korean patients with coronary or cerebrovascular disease.

Ahn S, Park YJ, Min SI, Kim SY, Ha J, Kim SJ, Kim HS, Yoon BW, Min SK - J. Korean Med. Sci. (2012)

Bottom Line: The prevalence of PAD was significantly higher in the study group than the control group (7.6% vs 1.7%; P < 0.001).Compared with group A, those with other vascular diseases (group B, C, D) had significantly higher prevalence of PAD, diabetes, dyslipidemia, renal insufficiency and claudication.Routine ABI measurement is recommended in these high-risk groups for early detection and proper management of PAD.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Seoul National University College of Medicine, Seoul, Korea.

ABSTRACT
This prospective study surveyed the prevalence of peripheral arterial disease (PAD) in Korean patients with coronary arterial disease (CAD) or cerebrovascular disorder (CVD). From March 2010, 576 hospitalized patients in cardiovascular or stroke center were enrolled as the study group. Ankle-brachial index (ABI) was measured and the cut-off point for diagnosing PAD was ≤ 0.9 at rest. A total of 424 hospitalized patients in the Department of Surgery and aged ≥ 50 yr was enrolled as the control group. The prevalence of PAD was significantly higher in the study group than the control group (7.6% vs 1.7%; P < 0.001). To analyze the relationship of other vascular diseases and PAD, the patients were regrouped; group A (no CAD or CVD), group B (CAD only), group C (CVD only), and group D (CAD and CVD). Compared with group A, those with other vascular diseases (group B, C, D) had significantly higher prevalence of PAD, diabetes, dyslipidemia, renal insufficiency and claudication. The trend that patients with CAD or CVD are at risk of PAD is observed in this cross-sectional study in Koreans. Routine ABI measurement is recommended in these high-risk groups for early detection and proper management of PAD.

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Typical overlap in vascular diseases affecting different territories. PAD, peripheral artery disease.
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Figure 1: Typical overlap in vascular diseases affecting different territories. PAD, peripheral artery disease.

Mentions: Fig. 1 represents overlaps in vascular diseases affecting different territories. The pattern of overlap was comparable with the data from TASC II (Trans-Atlantic Inter-Society Consensus) documents on the management of PAD (8, 9). Among the patients with symptomatic PAD in TASC II, 4.7% had concomitant CAD, 1.2% had concomitant CVD and 1.6% had both. And about 65% of patients with PAD had clinical evidence of other vascular diseases. In our data, 4.6% had concomitant CAD, 1.3% had concomitant CVD and 1.5% had both. And 90% of the patients with PAD were associated with CAD or CVD in our survey (P = 0.462; Fisher exact test).


High prevalence of peripheral arterial disease in Korean patients with coronary or cerebrovascular disease.

Ahn S, Park YJ, Min SI, Kim SY, Ha J, Kim SJ, Kim HS, Yoon BW, Min SK - J. Korean Med. Sci. (2012)

Typical overlap in vascular diseases affecting different territories. PAD, peripheral artery disease.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3369448&req=5

Figure 1: Typical overlap in vascular diseases affecting different territories. PAD, peripheral artery disease.
Mentions: Fig. 1 represents overlaps in vascular diseases affecting different territories. The pattern of overlap was comparable with the data from TASC II (Trans-Atlantic Inter-Society Consensus) documents on the management of PAD (8, 9). Among the patients with symptomatic PAD in TASC II, 4.7% had concomitant CAD, 1.2% had concomitant CVD and 1.6% had both. And about 65% of patients with PAD had clinical evidence of other vascular diseases. In our data, 4.6% had concomitant CAD, 1.3% had concomitant CVD and 1.5% had both. And 90% of the patients with PAD were associated with CAD or CVD in our survey (P = 0.462; Fisher exact test).

Bottom Line: The prevalence of PAD was significantly higher in the study group than the control group (7.6% vs 1.7%; P < 0.001).Compared with group A, those with other vascular diseases (group B, C, D) had significantly higher prevalence of PAD, diabetes, dyslipidemia, renal insufficiency and claudication.Routine ABI measurement is recommended in these high-risk groups for early detection and proper management of PAD.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Seoul National University College of Medicine, Seoul, Korea.

ABSTRACT
This prospective study surveyed the prevalence of peripheral arterial disease (PAD) in Korean patients with coronary arterial disease (CAD) or cerebrovascular disorder (CVD). From March 2010, 576 hospitalized patients in cardiovascular or stroke center were enrolled as the study group. Ankle-brachial index (ABI) was measured and the cut-off point for diagnosing PAD was ≤ 0.9 at rest. A total of 424 hospitalized patients in the Department of Surgery and aged ≥ 50 yr was enrolled as the control group. The prevalence of PAD was significantly higher in the study group than the control group (7.6% vs 1.7%; P < 0.001). To analyze the relationship of other vascular diseases and PAD, the patients were regrouped; group A (no CAD or CVD), group B (CAD only), group C (CVD only), and group D (CAD and CVD). Compared with group A, those with other vascular diseases (group B, C, D) had significantly higher prevalence of PAD, diabetes, dyslipidemia, renal insufficiency and claudication. The trend that patients with CAD or CVD are at risk of PAD is observed in this cross-sectional study in Koreans. Routine ABI measurement is recommended in these high-risk groups for early detection and proper management of PAD.

Show MeSH
Related in: MedlinePlus