Peripheral Arterial Disease in Proven Coronary Artery Disease
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2017, Vol 5, Issue 11
Abstract
Abstract: Peripheral arterial disease (PAD) is a predictor of cardiovascular morbidity and mortality leading to adverse outcome. It is a marker of increased risk of cardiovascular events in patients with coronary arterial disease (CAD). The prevalence of unknown PAD among CAD patients varies worldwide according to the methods of diagnosis. PAD and CAD share same risk factor profile and etiopathogenesis. Present study was aimed to determine the prevalence of PAD among patients with CAD and study risk factor profile.Patients presented with the symptoms suggestive of ischemic heart disease were assessed for the presence of PAD with CAD. In detail medical, personal and past history was recorded for demographic and risk factors analysis. All vital parameters, with special reference to peripheral pulsations, upper and lower limb blood pressure, pre-gangrene and gangrenous changes in extremities including non-healing ulcer were recorded.Total 500 patients with history suggestive of CAD were assessed for the presence of PAD and risk factors. Mean age of the patients was 49.68 +/-7.63 years. Prevalence of CAD was found to be highest in age group of 41 to 60 years with malereponderance. Risk factor profile shows smoking (39%) as the most prevalent risk factor followed by hypertension (37%) and T2DM (21%). Total 85 patients (17%) had PAD with male: female ration 11:1. Most common symptom of PAD was claudication (15.2%) and sign was absent or weak peripheral pulsation (6.4%). Incidence of iliofemoral disease was 35% in patients with left main disease, 28% in triple vessel while 11.1% in persons with normal coronaries. We observed 17% prevalence of PAD among cases of CAD, which are more vulnerable for worse outcome. Screening of PAD in CAD will help to improve their outcome. Keywords:Peripheral arterial disease, coronary artery disease, risk factors.
Authors and Affiliations
Shirish Deshmukh, Ashish Deshpande
Keywords
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