Titre du document / Document title

Indice tobillo-brazo en pacientes con diabetes mellitus : prevalencia y factores de riesgo = Ankle-brachial index in patients with diabetes mellitus : prevalence and risk factors

Auteur(s) / Author(s)

VICENTE I. ; LAHOZ C. ; TABOADA M. ; LAGUNA F. ; GARCIA-IGLESIAS F. ; MOSTAZA PRIETO J. M. ;

Résumé / Abstract

Introduction. Diabetic patients have a high cardiovascular morbidity and mortality rate. Ankle brachial index (ABI) is an available, straightforward and reproducible method for the detection of peripheral vascular disease and for improving risk stratification in this population. The objective of our study was to evaluate the prevalence of a low and a pathological ABI in type 2 diabetics older than 60 years and to study the risk factors associated with its development. Patients and methods. 1,360 subjects between 60 and 79 years, 213 of them diabetics, without symptoms of intermittent claudication and who gave their consent to have an ABI measurement in their primary care center were included in the study. Cardiovascular risk factors were evaluated in all participants. An ABI <0.9 was considered low and a value <0.9, ≥1.4 or non-compressible was considered pathological. Results. Prevalence of a low ABI in subjects with or without diabetes was 11.3% and 4.3% and prevalence of a pathological ABI was 18.8% and 7%, respectively. Factor associated with a low or pathological ABI were gender, age, duration of diabetes, the type of antidiabetic treatment and the presence of vascular disease in another vascular bed. After multivariate adjustment, only age (OR: 1.15; 95% CI: 1.04-1.27) and duration of diabetes (OR: 1.05; 95% CI: 1.01-1.10) continue being significant. The prevalence of a pathological ABI did not differ between diabetics without vascular disease and non-diabetics with previous cardiovascular disease. Conclusion. The prevalence of a low or pathological ABI is elevated in diabetic subjects and relates with age, duration of diabetes and the presence of vascular disease in another vascular bed.

Revue / Journal Title

Revista Clinica Espanola   ISSN 0014-2565 

Source / Source

2006, vol. 206, n^o5, pp. 225-229 [5 page(s) (article)]

Langue / Language

Espagnol

Editeur / Publisher

Doyma, Madrid, ESPAGNE  (1940) (Revue)

Mots-clés d'auteur / Author Keywords

ankle-brachial index ; type 2 diabetes mellitus ; peripheral artery disease ; cardiovascular disease ;

Localisation / Location

INIST-CNRS, Cote INIST : 6447, 35400011574630.0030