Importance of Ankle/Brachial Pressure Index in Saudi Patients with Coronary Artery Disease - World Journal of Cardiovascular Surgery

WJCS > Vol.3 No.6, October 2013

Importance of Ankle/Brachial Pressure Index in Saudi Patients with Coronary Artery Disease ()

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Download as PDF (Size: 102KB) PP. 181-185

DOI: 10.4236/wjcs.2013.36036 2,904 Downloads 5,183 Views Citations

Author(s)

Abdullah M. Alshehri, Mohamed Elsharawy

Affiliation(s)

Departments of Internal Medicine (Cardiology Division), University of Dammam, Dammam, KSA.
General Surgery (Vascular Division), University of Dammam, Dammam, KSA.

ABSTRACT

Background: The ankle/brachial pressure index (ABPI) has been shown to be a good marker of systemic atherosclerosis and a powerful predictor of cardiovascular morbidity and mortality. The objective of this study was to determine the importance of measuring ABPI in Saudi patients with coronary artery disease (CAD). METHODS: This is a hospital based cross-sectional study which was conducted on all Saudi patients who underwent coronary angiography without symptoms of peripheral arterial disease at King Fahd Hospital of the University, Al-Khobar Saudi Arabia. All patients underwent measurement of their ABPI. The study was carried out between December 2010 and November 2011. RESULTS: During the study period, two hundred and five patients were included. Fifty-nine (28.8%) patients were Group II (ABPI ≤ 0.90) and the rest was Group I (ABPI > 0.90). Significant correlation was also found between low ABPI and the extent of CAD (mean number of arteries involved in Group I was 1.78 ± 0.83 compared to 2.10 ± 0.736 in Group II p = 0.011). Nevertheless, the correlation between low ABPI, and the severity of presentation of CAD were also significant (Incidence of myocardial infarction with congestive heart failure was 0.5% in Group I compared to 12% in Group II p < 0.001). CONCLUSION: The ABPI is an important prognostic indicator for Saudi patients with CAD.

KEYWORDS

Coronary Artery Disease; Ankle Brachial Pressure Index; Atherosclerosis

Share and Cite:

M. Alshehri, A. and Elsharawy, M. (2013) Importance of Ankle/Brachial Pressure Index in Saudi Patients with Coronary Artery Disease. World Journal of Cardiovascular Surgery, 3, 181-185. doi: 10.4236/wjcs.2013.36036.

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