Abstract:
AIM:There is a high prevalence of combined peripheral and coronary artery disease, with increasing morbidity and decline in cardiac function. The aim of the present study was to find an association between ankle brachial index, a non-invasive measure of peripheral artery disease, and ejection fraction in elderly patients with severe coronary artery disease. METHODS:A case-control study recruiting 200 elderly male and female ischemic patients in Ain Shams University hospitals was carried out. All participants had significant coronary artery disease lesions in coronary angiography carried out before the study. Cases and controls were divided according to ankle brachial index, with further subdivision of each group according to age. Measurements include: ankle brachial index using Bistos handheld vascular Doppler (BT 200V,8 MHz), electrocardiography and echocardiography showing left ventricular ejection fraction. Coronary artery disease severity was estimated using the number of diseased vessels. RESULTS:The mean age of our study group was 67 years. Although our participants had mild to moderate peripheral artery disease, ejection fraction statistically decreased with decreasing ankle brachial index, being the lowest in participants aged > 70 years (46.84 ± 9.82 years) and the highest in controls aged >70 years (53.02 ± 5.53 years; P = 0.009). Ejection fraction was positively correlated with ankle brachial index (P = 0.011, 0.006) for cases and controls, respectively. CONCLUSION:Ankle brachial index can correlate with ejection fraction in elderly ischemic Egyptians with more severe coronary artery disease.
journal_name
Geriatr Gerontol Intjournal_title
Geriatrics & gerontology internationalauthors
Amer MS,Tawfik HM,Abd Elmotteleb AM,Maamoun MMdoi
10.1111/ggi.12232subject
Has Abstractpub_date
2015-04-01 00:00:00pages
405-9issue
4eissn
1444-1586issn
1447-0594journal_volume
15pub_type
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