Prognostic value of low ankle–brachial index in patients with hypertension and acute coronary syndromes

Morillas, Pedro; Cordero, Alberto; Bertoméu, Vicente; González-Juanàtey, José Ramón; Quiles, Juan; Guindo, Josep; Soria, Federico; Mazón, Pilar; Nieto, Vicente; Anguita, Manuel; González-Maqueda, Isidoro

doi:10.1097/hjh.0b013e3283199193

Cited by 35 publications

(18 citation statements)

References 29 publications

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“…However, to date its use is infrequent in patients suffering an ACS and no recommendation is stated in guidelines. We previously found that a low ABI index in patients with ACS is a predictor of in-hospital cardiovascular events [19,26]. Our results confirm and expand this finding to the mid-term follow up and also show that the presence of an ABI ≤ 0.9 combined to the diagnosis of diabetes is a powerful tool after an ACS to predict the occurrence of an adverse event.…”

Section: Discussionsupporting

confidence: 91%

Combination of ankle brachial index and diabetes mellitus to predict cardiovascular events and mortality after an acute coronary syndrome

Quiles

Morillas

Bertoméu

et al. 2011

International Journal of Cardiology

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Section: Discussionsupporting

confidence: 91%

Combination of ankle brachial index and diabetes mellitus to predict cardiovascular events and mortality after an acute coronary syndrome

Quiles

Morillas

Bertoméu

et al. 2011

International Journal of Cardiology

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“…Low ABI has been established as a risk marker for cardiovascular disease and mortality both in the general population as well as in patients with established coronary artery disease [2,3,4,5,6]. Recent reports have suggested a high prevalence of low ABI among patients with acute ischemic stroke (AIS) or transient ischemic attack (TIA), with prevalence estimates ranging from 31 to 51% [4,7,8].…”

Section: Introductionmentioning

confidence: 99%

Differences of Ankle-Brachial Index according to Ischemic Stroke Subtypes: The Peripheral Artery Disease in Korean Patients with Ischemic Stroke (PIPE) Study

Chung

Kim

et al. 2012

Eur Neurol

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Background/Aims: Although previous studies showed a high prevalence of abnormal ankle-brachial index (ABI) in patients with ischemic stroke, few data exist regarding ABI in Asian patients with ischemic stroke. The purpose of the present study was to determine the prevalence and factors associated with abnormal ABI (≤0.9) in a cohort of ischemic stroke patients. Methods: In this prospective multicenter study, 1,293 patients diagnosed with acute ischemic stroke or transient ischemic attack underwent ABI measurement to evaluate an association between abnormal ABI and vascular risk factors and clinical characteristics. Differences in ABI by stroke subtypes were also assessed. Results: Abnormal ABI of ≤0.9 was found in 13.0%. Patients with abnormal ABI were more likely to be older and had higher initial stroke severity. The prevalence of abnormal ABI was 18.4% in large artery atherosclerosis, 7% in small artery disease, and 19.2% in cardioembolism (p < 0.001). Multiple logistic regression analysis showed that age, hyperlipidemia, diabetes, and large artery atherosclerosis subtype were independent factors associated with abnormal ABI. Conclusions: These data suggest that the prevalence of abnormal ABI in Korean patients with ischemic stroke was lower than that in Caucasian patients, which might be associated with ethnic differences in underlying stroke subtypes.

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“…Recently, low ABI values have been found to be associated with LV hypertrophy [6,7] a well-known risk factor for LV dysfunction and heart failure [8].…”

Section: Introductionmentioning

confidence: 99%

Relation of Ankle Brachial Index to Left Ventricular Ejection Fraction in Diabetic Patients

Abbasnezhad

2012

J Endocrinol Metab

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Background: Peripheral arterial disease is associated with an excessive risk for cardiovascular events and mortality. It is usually measured with ankle brachial index (ABI), which is shown to be influenced by left ventricular ejection fraction (LVEF) independent of coronary disease. Diabetics significantly have higher risk for cardiovascular disease. The aim of current study is to evaluate relation of ABI to LVEF in diabetic patients.

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Prognostic value of low ankle–brachial index in patients with hypertension and acute coronary syndromes

Abstract: Asymptomatic PAD is highly prevalent in hypertensive patients with ACS. An ABI less than 0.9 identifies a subset of patients with more extensive target organ damage and higher risk of hospital cardiovascular complications after an ACS.

Cited by 35 publications

References 29 publications

Combination of ankle brachial index and diabetes mellitus to predict cardiovascular events and mortality after an acute coronary syndrome

Combination of ankle brachial index and diabetes mellitus to predict cardiovascular events and mortality after an acute coronary syndrome

Differences of Ankle-Brachial Index according to Ischemic Stroke Subtypes: The Peripheral Artery Disease in Korean Patients with Ischemic Stroke (PIPE) Study

Relation of Ankle Brachial Index to Left Ventricular Ejection Fraction in Diabetic Patients

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