Publication:

Prevalence of peripheral vascular disease in high risk population using non-invasive techniques

Background The term peripheral arterial disease (PAD) generally refers to a disorder that obtained the blood supply to lower or upper extremities. It is frequently associated with cerebral and coronary atherosclerosis.

Methods 200 patients coming to OPD and IPD in age group of 20-65 years with risk factors of HT, DM known CAD, known PAD, smokings were worked up.

Results Steep increase in prevalence of clinical PAD was found in 50 years or above, males predominated only slightly 32% than females 27.7% in clinical PAD. Every one patient was either hypertensive or diabetic, one-third had both Diabetes and hypertension, one third was dyslipidemic, and one fifth had CAD. CAD was more prevalent in patients with clinical PAD 40% than without PAD 11.4%. Elevated triglyceride levels >150 mg/dl was more in patients clinical PAD 33.3% than without PAD 14.2%. Elevated total cholesterol levels >200 mg/dl was more in patients with clinical PAD 26.6% than without PAD 20%. 80% of patients with clinical PAD had ABI <0.9, and out of patients with no clinical PAD 16% had abnormal PAD. Grading of ABI according to severity showed grater no of patients with ABI <0.8 and less in clinical PAD group.

Conclusions PAD was more prevalent with increasing age, diabetes mellitus, hypertension, smoking and dislipidema.