Study of Peripheral Arterial Disease in an Indian Tertiary Care Cardiology Outpatient Department

Abstract

D. Sunil Reddy1 , Vishwa Deepak Tripathi2 , Avijit Singh3

BACKGROUND Peripheral Arterial Disease (PAD) is an obstructive disease of peripheral vasculature. The evidence that both symptomatic and asymptomatic PAD represent an independent risk for cardiovascular morbidity and mortality has triggered resurgence in epidemiological and clinical interest in PAD. We intended to determine the prevalence of asymptomatic and symptomatic PAD in patients attending Cardiology Department of our hospital, and evaluate the associated risk factors and coronary arterial disease among those with PAD. METHODS This is a descriptive cross-sectional study of PAD conducted among 450 eligible consecutive patients visiting Cardiology OPD who after giving informed consent underwent ABI measurement (auscultatory and Doppler) and relevant investigations. After taking history and physical examination, patients underwent ABI measurement. Appropriate investigations were done. All data was collected and analysed using SPSS software. RESULTS We had included 450 patients attending Cardiology OPD of Krishna Institute of Medical Sciences, Hyderabad. 92 out of 450 (20.44 %) were found to be suffering from PAD. 6.22 % (28) of patients described symptoms of intermittent claudication. Diabetes and smoking were found to be significantly associated with PAD but alcoholism and hypertension were not. CONCLUSIONS Peripheral arterial diseases are significantly associated with presence of CAD and its presence should be looked for particularly in smokers and diabetics who are visiting outpatient department.

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