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

Abstract

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.