Frequency of Peripheral Artery Disease in association with Coronary Artery Disease: a cross-sectional monocentric study in eastern Algeria

Merghit Rachid; Ait Athmane Mouloud; Lakehal Abdelhak

Article Details

Frequency of Peripheral Artery Disease in association with Coronary Artery Disease: a cross-sectional monocentric study in eastern Algeria

Authors:

Merghit Rachid | Ait Athmane Mouloud | Lakehal Abdelhak

Publisher:

Université de Batna 2 - Mustapha Ben Boulaid

Journal:

Batna Journal of Medical Sciences Vol.7 Issue 2, pp.74-78

Document Type:

Article

Publication Date:

11/2020

Document Language:

English

Document ID (Org No.):

2001399290

pISSN:

2437-0665

Keywords:

Abstract:

 Introduction. Patients with both Coronary Artery
Disease (CAD) and Peripheral Artery Disease (PAD) have
a worse cardiovascular prognosis. It, therefore, seems
interesting to detect this association, in particular by
measuring the ankle-brachial systolic pressure index
(ABI) which is a simple, inexpensive, and non-invasive way
with a significant diagnostic input that can detect silent
but threatening lesions. It can also identify a subgroup of
patients with coronary artery disease at a higher
cardiovascular risk requiring more specific
management. Aims. Estimate the frequency of peripheral
artery disease (PAD) in patients with Coronary Artery
Disease CAD who were recruited at the department of
cardiology at the university hospital of Constantine. This
study also aims to detect the risk factors of this
association. Patients and methods. Our study is
descriptive, cross-sectional, single-centered in
cardiovascular exploration units of the regional
military university hospital of Constantine. The included
subjects had at least one significant coronary lesion in a
major coronary artery using radial Coronary angiography.
Guided medical history and a cardiovascular clinical
examination preceded the measurement of the ABI for
each patient. PAD was defined by an ABI of less than 0.90
in one of the four distal arteries of the two lower limbs.
Data were analyzed and processed by Epi-Info Statistics V7.
Results. 300 coronary patients, the average age of 61
years, mostly males, took part in the study. The frequency
of the combination of PAD and coronary artery disease was
34.7% using the ABI, asymptomatic in 18% of cases.
independent factors of the association were: Age≥ 65
[aOR 3,67, P <0,0001], tobacco [aOR 4,10, P<0,002],
diabetes [aOR 3,48, P<0,0001] , AHT [aOR 3,30,
P<0,0001], dyslipidemia [aOR 2.32, P<0,009], inactivity
[aOR 2,14, P<0,015] , stroke [aOR 6,4, P<0,015] and severe
coronary impairment [aOR 2,36, P<0,015]. Conclusion.
ABI, in addition to being an early detection tool for PAD,
its dissemination in medical practice would help in the
approach and refinement of vascular risk in coronary
heart patients.

Article Details

Frequency of Peripheral Artery Disease in association with Coronary Artery Disease: a cross-sectional monocentric study in eastern Algeria

Authors: Merghit Rachid | Ait Athmane Mouloud | Lakehal Abdelhak

Publisher: Université de Batna 2 - Mustapha Ben Boulaid

Journal: Batna Journal of Medical Sciences Vol.7 Issue 2, pp.74-78

Document Type: Article

Publication Date: 11/2020

Document Language: English

Document ID (Org No.): 2001399290

pISSN: 2437-0665

ABI

PAD

CAD

Issues

Authors:

Merghit Rachid | Ait Athmane Mouloud | Lakehal Abdelhak

Publisher:

Université de Batna 2 - Mustapha Ben Boulaid

Journal:

Batna Journal of Medical Sciences Vol.7 Issue 2, pp.74-78

Document Type:

Article

Publication Date:

11/2020

Document Language:

English

Document ID (Org No.):

2001399290

pISSN:

2437-0665