To Determine the Relation Between Ankle-Brachial Index with Angiographic Stenosis and Major Cardiovascular Risk Factors In Patients With Suspected Coronary Artery Disease.

2018 ◽  
Vol 2 (S1) ◽  
pp. e000138
Author(s):  
Vivek Agarwal ◽  
Tejas Patel ◽  
Sanjay Shah
Keyword(s):  
Coronary Artery Disease ◽  
Heart Disease ◽  
Coronary Artery ◽  
Univariate Analysis ◽  
Ankle Brachial Index ◽  
Significant Coronary Artery Disease ◽  
Limb Ischemia ◽  
P Value ◽  
Artery Disease ◽  
The Relationship

Aims and Objectives: Prevalence of low Ankle-Brachial Index (ABI) in patients with Ischaemic Heart Disease. To compare the relationship between various physiological parameters like age, sex, and BMI with ABI. To compare the relationship between low ABI and number of coronaries involved. Methodology: Inclusion Criteria: All the 1423 patients aged 23-90 years including 1047 male and 376 female undergoing coronary angiography in VS hospital. Exclusion Criteria: Critically ill or who had severe limb ischemia or patients with amputation were excluded. Statistical analysis was done by using SPSS 20.0 version. Univariate analysis was performed by applying the Pearson chi-squared test. Results: In this study, 1423 patients were evaluated out of which 66 (4.6%) patients had ABI<0.9. Out of 66 patients with low ABI 60 (91%) were male and 6 (9%) were female, showing high prevalence in the male. In patients having low ABI shows 12 (18.2%) have SVD, 11(16.7%) have DVD, 26(39.4%) have TVD, comparing this with patients having normal ABI, shows P value of 0.035 which is significant. 411 patients were diabetic including 40 (60.6%) patients having low ABI and 371 (27.3%) patients having normal ABI, shows P value of 0.000 which is highly significant. Conclusion: ABI is helpful in identifying individuals at high risk of coronary involvement. Although the prevalence of low ABI in patients with IHD is 4.6% that is very low but is highly specific (91%). In patients with ischemic heart disease low ABI suggests the involvement of multivessel disease. Direct association between ABI and significant Coronary Artery Disease noted.

scholarly journals Preoperative prediction of significant coronary artery disease in patients with valvular heart disease.

BMJ ◽  
1982 ◽  
Vol 284 (6311) ◽  
pp. 223-226 ◽  
Author(s):  
D R Ramsdale ◽  
E B Faragher ◽  
D H Bennett ◽  
C L Bray ◽  
C Ward ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
Heart Disease ◽  
Coronary Artery ◽  
Valvular Heart Disease ◽  
Significant Coronary Artery Disease ◽  
Preoperative Prediction ◽  
Artery Disease

scholarly journals Long‐Term (7‐Year) Clinical Implications of Newly Unveiled Asymptomatic Abnormal Ankle–Brachial Index in Patients With Coronary Artery Disease

2021 ◽  
Author(s):  
Jong‐Young Lee ◽  
Seung‐Jae Lee ◽  
Seung‐Whan Lee ◽  
Tae Oh Kim ◽  
Yujin Yang ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Proportional Hazards ◽  
Ankle Brachial Index ◽  
Significant Coronary Artery Disease ◽  
Cox Proportional Hazards ◽  
Repeat Revascularization ◽  
Artery Disease

Background The long‐term impact of newly discovered, asymptomatic abnormal ankle–brachial index (ABI) in patients with significant coronary artery disease is limited. Methods and Results Between January 2006 and December 2009, ABI was evaluated in 2424 consecutive patients with no history of claudication or peripheral artery disease who had significant coronary artery disease. We previously reported a 3‐year result; therefore, the follow‐up period was extended. The primary end point was a composite of all‐cause death, myocardial infarction (MI), and stroke over 7 years. Of the 2424 patients with significant coronary artery disease, 385 had an abnormal ABI (ABI ≤0.9 or ≥1.4). During the follow‐up period, the rate of the primary outcome was significantly higher in the abnormal ABI group than in the normal ABI group ( P <0.001). The abnormal ABI group had a significantly higher risk of composite of all‐cause death/MI/stroke than the normal ABI group, after adjustment with multivariable Cox proportional hazards regression analysis (hazard ratio [HR], 2.07; 95% CI, 1.67–2.57; P <0.001) and propensity score–matched analysis (HR, 1.97; 95% CI, 1.49–2.60; P <0.001). In addition, an abnormal ABI was associated with a higher risk of all‐cause death, MI, and stroke, but not repeat revascularization. Conclusions Among patients with significant coronary artery disease, asymptomatic abnormal ABI was associated with sustained and increased incidence of composite of all‐cause death/MI/stroke, all‐cause death, MI, and stroke during extended follow‐up over 7 years.

scholarly journals Assessment of the Relationship of Ankle-Brachial Index With Coronary Artery Disease Severity

2017 ◽  
Author(s):  
Andrea Mabilde Petracco ◽  
Luiz Carlos Bodanese ◽  
Gustavo Farias Porciúncula ◽  
Gabriel Santos Teixeira ◽  
Denise de Oliveira Pellegrini ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Disease Severity ◽  
Ankle Brachial Index ◽  
Coronary Artery Disease Severity ◽  
Artery Disease ◽  
Relationship Of ◽  
The Relationship

scholarly journals The Relationship between Hip Waist Circumference Ratio and the Incidence of Coronary Artery Disease in the Cardiac Polyclinic of Public Health Hospital Tangerang District

2020 ◽  
Vol 3 (1) ◽  
pp. 32
Author(s):  
Siti Ma’rifatun Jannah ◽  
Annisaa Fitrah Umara ◽  
Jaenudin Jaenudin
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Waist Circumference ◽  
Central Obesity ◽  
Anthropometric Measurement ◽  
Ratio Method ◽  
P Value ◽  
Cross Sectional ◽  
Artery Disease ◽  
The Relationship

Introduction: Coronary Artery Disease (CAD) leading cause of death in Indonesia. Central obesity is one of the risk factors that is often found in patients with CAD. The ratio of waist and hip circumference (waist hip ratio) method is considered as the anthropometric measurement which is more sensitive, cheaper and easier to assess central obesity. This study aims to determine the relationship between hip and waist circumference ratio with the incidence of coronary heart disease in cardiac polyclinic of Tangerang general hospital on 2018. Method: Study is an analytic study using cross-sectional study design. Sampling studied used consecutive sampling with 68 sampels.Analysis of relationship between hip and waist circumference ratio with the incidence of CAD uses statistic test of Chi Square with a significant degree (α) was 0,05.Results and Discussion: The result was old as much 43 56 – 65  years old (63,2%), gender as much 42 man (61,8%), Job as much 61 not work (89,7%), Based on the results with value of p-value was 0.004 (p value<α).Conclusion and suggestion: The conclution wasthe relationship between the ratio of waist and hips with the incidence of CAD. It recommends to add other variables for identfying incidence of Coronary Artery Disease. Keywords: Atherosclerosis, Coronary Artery Disease, Ratio Hip and waist  

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