International Journal of Research in Medical Sciences | November 2017 | Vol 5 | Issue 11 Page 4881
International Journal of Research in Medical Sciences
Tyagi V et al. Int J Res Med Sci. 2017 Nov;5(11):4881-4885
www.msjonline.org pISSN 2320-6071 | eISSN 2320-6012
Original Research Article
Prevalence of peripheral artery disease in diabetes
mellitus: research article
Vinod Tyagi, Abhishek Gupta*, Naman Bansal, S. K. Virmani
INTRODUCTION
Peripheral artery disease (PAD) is defined as
atherosclerotic occlusive disease of lower ex-tremities.
PAD is associated with increased risk of lower extremity
amputation and is also a marker for atherothrombosis in
cardiovascular, cerebrovascular and renovascular beds.
Pa-tients with PAD therefore have an increased risk of
MI, stroke and death.
1
Additionally, PAD causes
significant long-term disability in diabetic patients. PAD
can be clinically identified by intermittent claudication
and/or absence of pe-ripheral pulsations in the lower
extremities.
2
With the use of doppler technology and
ankle brachial pressure index measurement, peripheral
artery disease can be identified non invasively before
clinical manifestations.
Peripheral vascular disease is a major macrovascular
complication of diabetes melli-tus. Because of the unique
involvement of distal pattern of vessels and invariable
association with neuropathy, peripheral arterial disease in
diabetics presents late, having already devel-oped limb
threating ischaemia.
3
In the present study, 100 patients
with diabetes mellitus were enrolled to find out
prevalence of peripheral vascular disease using ankle
brachial pressure index and study the associated risk
factors.
METHODS
This prospective observational study was carried out at
the Department of Medicine at Subharti Medical College,
Swami Vivekanand Subharti University, Meerut, India.
Patients of all age group presented with Diabetes Mellitus
in the department of medicine and admitted to the
hospital were studied during the study period from June
2015 to May 2017.
Department of Medicine, Subharti Medical College, Swami Vivekananda Subharti University, Meerut, Uttar Pradesh,
India
Received: 29 August 2017
Accepted: 29 September 2017
*Correspondence:
Dr. Abhishek Gupta,
E-mail: vasugupta792000@yahoo.com
Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under
the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial
use, distribution, and reproduction in any medium, provided the original work is properly cited.
ABSTRACT
Background: Peripheral artery disease is a major macrovascular complication of diabetes mellitus. Patients with
diabetes mellitus have an increased prevalence of PAD. The ankle brachial pressure index is an easy, non invasive
and often under utilised tool for diagnosis of PAD.
Methods: In the present study, 100 patients from Western Uttar Pradesh with diabetes mellitus were enrolled to find
out prevalence of peripheral vascular disease using ankle brachial pressure index and study the associated risk factors.
Results: 59 percent of the subjects were female and 41 percent were male. Ankle-brachial index (ABI) examination
of patients indicated Abnormal (ABI= <0.9), in 40 cases.
Conclusions: it can be concluded that peripheral vascular disease in Diabetes Mellitus is more commonly associated
than is generally believed.
Keywords: Ankle brachial pressure index (ABPI), Diabetes, PVD
DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20174938