Abstract

    Open Access Research Article Article ID: AC-2-109

    Peripheral arterial disease and cardiovascular risk. The importance of Doppler in multi-pathological population

    M Martín Asenjo*, JM Martín Guerra, C Rodríguez Martín, L Iglesias Gómez, PJ Mújica Addimandi, D Bóveda Ruiz, C Jauset Alcalá, A Almaraz Gómez and E González Sarmiento

    Objective: The aim of this study is to calculate cardiovascular risk (CVR), vascular age (VA), and prevalence of peripheral arterial disease (PAD) in the multi-pathological population admitted to Internal Medicine services, as well as to study the relationship between PAD and Mönckeberg’s calcification with VA and cardiovascular risk factors (CRF) in this population.

    Material and method: Cross-sectional observational study, including multi-pathological patientsadmitted to Internal Medicine, excluding those with diagnosed PAD. Demographic variables, anklebrachial index (ABI), presence of multi-pathology, CRF present, CVR measured by SCORE and VA were recorded.

    Results: 414 patients were included: 54.8% were men and 45.2% were women. The most prevalent pathology was heart failure followed by chronic respiratory insuffi ciency, ischemic heart disease and chronic anaemia secondary to digestive bleeding. 25.3% of patients have PAD, which is significantly associated with ischemic heart disease and type 2 diabetes mellitus with target organ injuries. 21.2% of the sample suffers from Mönckeberg calcification and in 53.5 the ABI is normal. CVR and VA were calculated in patients younger than 65 years (22.16%), PAD was associated with SCORE> 5% and a high VA.

    Conclusion: This study highlights the importance of the determination of ABI, CVR and VA in patients admitted to Internal Medicine services. Since PAD is in the majority of cases asymptomatic and, therefore, under diagnosed, its presence forces us to a comprehensive treatment of the patient to avoid any of these events.

    Keywords:

    Published on: Sep 15, 2017 Pages: 26-33

    Full Text PDF Full Text HTML DOI: 10.17352/ac.000009
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