Journal of Health Sciences and Medicine

Journal of Health Sciences and Medicine

The significance of ankle-brachial index in determining peripheral artery disease in patients with type 2 diabetes mellitus over 40 years of age and the relationship of peripheral artery disease with chronic complications of diabetes

Yazarlar: Tuğçe Nur YİĞENOĞLU, Medine Nur KEBAPÇI, Hülya ÖZEN

Cilt 3 , Sayı 2 , 2020 , Sayfalar 115 - 120

Konular:Sağlık Bilimleri ve Hizmetleri

DOI:10.32322/jhsm.668754

Anahtar Kelimeler:Peripheral artery disease,Diabetes mellitus,Ankle-brachial index

Özet: Introduction: Peripheral artery disease (PAD) acts as an important predictor of mortality and morbidity in cerebrovascular and cardiovascular diseases. The incidence of PAD was reported to be 2 to 4 times higher in diabetic patients compared with non-diabetic patients. Ankle brachial  index (ABI) is an easily applicable method for the diagnosis of PAD. The aim of this study is to determine the prevalence of PAD by using ABI in patients with Type 2 Diabetes Mellitus (DM) over 40 years of age, compare the results with lower extremity arterial Doppler ultrasonography (USG) and to reveal the relationship between chronic complications of DM and PAD. Material and Method: The study included 111 DM patients over 40 years of age. ABI; was calculated by dividing the higher systolic blood pressures (SBP) taken from both ankle levels to the higher SBPs measured in both arms and defined as "ABI-1". ABI-2 was calculated by dividing the lower SBPs taken from both ankle levels to the higher SBPs measured from both arms. ABI values ​​calculated by both methods were divided into 3 groups according to cut off values. ABI values ​​of 0.9 and less in Group 1, ​​between 0.9 and 1.30 in Group 2, ​​between 0.9 and 1.40 in Group 3 were interpreted in favor of PAD. Results: The prevalence of PAD was 19.8%. The most specific group for detecting PAD was ABI-2G1, and the most sensitive groups were ABI-1G2 and ABI-2G2. A significant relationship was found between PAD and clopidogrel use, decreased vibration sensation, age, duration of DM, insulin resistance, glomerular filtration rate, albuminuria, homocysteine ​​and uric acid levels. Conclusion: ABI is a sensitive method for detecting PAD. The superior side of our study compared to the other studies is that the ABI is calculated by 2 methods and ABI values are divided into 3 groups according to cut off values (≤0,9 ; ≤0,9 - >1,30 ; ≤0,9 - >1,40).

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@article{2020, title={The significance of ankle-brachial index in determining peripheral artery disease in patients with type 2 diabetes mellitus over 40 years of age and the relationship of peripheral artery disease with chronic complications of diabetes}, volume={3}, number={115–120}, publisher={Journal of Health Sciences and Medicine}, author={Tuğçe Nur YİĞENOĞLU,Medine Nur KEBAPÇI,Hülya ÖZEN}, year={2020} }
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Tuğçe Nur YİĞENOĞLU,Medine Nur KEBAPÇI,Hülya ÖZEN. (2020). The significance of ankle-brachial index in determining peripheral artery disease in patients with type 2 diabetes mellitus over 40 years of age and the relationship of peripheral artery disease with chronic complications of diabetes (Vol. 3). Vol. 3. Journal of Health Sciences and Medicine.
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Tuğçe Nur YİĞENOĞLU,Medine Nur KEBAPÇI,Hülya ÖZEN. The Significance of Ankle-Brachial Index in Determining Peripheral Artery Disease in Patients with Type 2 Diabetes Mellitus over 40 Years of Age and the Relationship of Peripheral Artery Disease with Chronic Complications of Diabetes. no. 115–120, Journal of Health Sciences and Medicine, 2020.
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