High prevalence of peripheral arterial disease in Korean patients with coronary or cerebrovascular disease.
This prospective study surveyed the prevalence of peripheral arterial disease (PAD) in Korean patients with coronary arterial disease (CAD) or cerebrovascular disorder (CVD). From March 2010, 576 hospitalized patients in cardiovascular or stroke center were enrolled as the study group. Ankle-brachial index (ABI) was measured and the cut-off point for diagnosing PAD was ≤ 0.9 at rest. A total of 424 hospitalized patients in the Department of Surgery and aged ≥ 50 yr was enrolled as the control group. The prevalence of PAD was significantly higher in the study group than the control group (7.6% vs 1.7%; P < 0.001). To analyze the relationship of other vascular diseases and PAD, the patients were regrouped; group A (no CAD or CVD), group B (CAD only), group C (CVD only), and group D (CAD and CVD). Compared with group A, those with other vascular diseases (group B, C, D) had significantly higher prevalence of PAD, diabetes, dyslipidemia, renal insufficiency and claudication. The trend that patients with CAD or CVD are at risk of PAD is observed in this cross-sectional study in Koreans. Routine ABI measurement is recommended in these high-risk groups for early detection and proper management of PAD.
Department of Surgery, Seoul National University College of Medicine, Seoul, Korea.
Sanghyun
S
Ahn
Yang Jin
YJ
Park
Sang-Il
SI
Min
Seong Yup
SY
Kim
Jongwon
J
Ha
Sang Joon
SJ
Kim
Hyo-Soo
HS
Kim
Byung-Woo
BW
Yoon
Seung-Kee
SK
Min
D000368:Aged; D055109:Ankle Brachial Index; D002561:Cerebrovascular Disorders / Q000150:complications / Q000453:epidemiology*; D003324:Coronary Artery Disease / Q000150:complications / Q000453:epidemiology*; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016017:Odds Ratio; D058729:Peripheral Arterial Disease / Q000453:epidemiology* / Q000209:etiology; D015995:Prevalence; D011446:Prospective Studies; D056910:Republic of Korea / Q000453:epidemiology; D012307:Risk Factors