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Rivista di Angiologia
Official Journal of the , the International Union of Phlebology and the
Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
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International Angiology 2012 October;31(5):454-61
Low frequency of a decreased ankle brachial index and associated conditions in the practice of internal medicine in a Turkish population sample
Gezer M. 1, Tasci I. 1, 2, Demir O. 1, Acikel C. 3, Cakar M. 1, Saglam K. 1, Kutsi Kabul H. 4, Fatih Bulucu M. 1, Acar R. 1, Ozturk K. 1, Inanc Dogan M. 1, Koc B. 1 ✉
1 Department of Internal Medicine, Gulhane School of Medicine, Ankara, Turkey;
2 Department of Geriatrics, Gulhane School of Medicine, Ankara, Turkey;
3 Department of Epidemiology, Gulhane School of Medicine, Ankara, Turkey;
4 Department of Cardiology, Gulhane School of Medicine, Ankara, Turkey
AIM: Peripheral arterial disease (PAD) is a less known condition in the practice of internal medicine, mostly due to lack of specific symptoms and low rates of physician awareness. However, cardiovascular disease (CVD) incidence is not significantly different among patients with symptomatic or asymptomatic disease. Ankle brachial index (ABI) measurement is an easy and cost-effective tool for the diagnosis of PAD. In the present study, frequency of low ABI and associated factors were investigated in the setting of internal medicine practice.
METHODS: Patients over 70 years of age and patients between 50 and 69 years with CVD or at least one atherothrombosis risk factor were included in the study. ABI was determined with handheld Doppler. Measurements were determined for both lower extremities. Lower of the right or left ABIs was taken as the final value. Low ABI was defined as ≤0.9.
RESULTS: A total of 303 subjects between 50 and 83 years of age were enrolled (female/male: 186/117). Mean ABI was 1.14±0.15. A low ABI was detected in 15 cases (4.95%). Prevalence was 7% in females and 1.7% in males (P=0.039). Low ABI value was not associated with any of the demographic parameters, presence of major risk factors or basic laboratory values. A high ABI was found by 5.6%.
CONCLUSION: In the present study, frequency of PAD as determined by ABI was found lower than those reported previously in most European countries. Nonetheless, our results showed that PAD affects at least 1 in 20 outpatients in the practice of internal medicine.