Doppler Ultrasonography Screening of the Lower Limbs in Patient with Coronary Artery Disease

Abstract

Introduction: For patient with coronary artery disease (CAD), peripheral artery disease (PAD) is really underestimated. Objectives: Establish a mapping of atherosclerotic involvement of the lower limbs using ultrasound exploration, by working on a sample of coronary artery disease (CAD) patients, recruited in cardiology at the university hospital centers of the city of Constantine. Patients and Methods: Our study is descriptive, transversal, and multi-centric carried out in unit of cardiovascular explorations of the University Hospital of Constantine. The patients involved had at least one significant coronary lesion ≥ 50 on a principal coronary artery. All of our patients benefited from a lower limb Doppler ultrasonography using a 12L linear scanning probe on a General Electric vivid E9 ultrasound system. The data processing and processing used epi info 8 software. Results: Atheromatous affection and implication of the lower limbs is very common and usual in patient with coronary artery disease (CAD), mostly on the infra popliteal floor. 34.67% have a hemodynamic lesion ≥ 50% on the arterial axes of the lower limbs. Taking the lion’s share, with more than half of our population had predominantly distal mediacalcosis lesions. Conclusion: Atherothrombotic disease or atherothrombosis demands a global patient care since for a long time and for as long as anyone can remember, the clinical translations and manifestations of atherothrombosis were treated in isolation and compartmentalized.