FREQUENCY OF PERIPHERAL ARTERIAL DISEASE IN HIGH RISK TYPE 2 DIABETES MELLITUS USING ANKLE-BRACHIAL INDEX AND ITS ASSOCIATION WITH THE RISK FACTORS AMONG PATIENTS PRESENTING IN JINNAH HOSPITAL, LAHORE

Objective: To determine frequency of peripheral arterial disease (PAD) using ankle brachial index and its various risk factors in Pakistani patients. Study Design: Cross-sectional study. Place and Duration of Study: Allama Iqbal Medical College, Jinnah Hospital, Lahore, from Jan 2017 to Apr 2017....

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Main Authors: Amina Umer, Khurshid Ahmad Khan, Sadaf Naz, Samsam Mushtaq, Saima Nouman Khan, Tabish Raza, Zohaib Ahmad Khan
Format: Article
Language:English
Published: Army Medical College Rawalpindi 2018-08-01
Series:Pakistan Armed Forces Medical Journal
Subjects:
Online Access:https://www.pafmj.org/index.php/PAFMJ/article/view/28/14
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author Amina Umer
Khurshid Ahmad Khan
Sadaf Naz
Samsam Mushtaq
Saima Nouman Khan
Tabish Raza
Zohaib Ahmad Khan
author_facet Amina Umer
Khurshid Ahmad Khan
Sadaf Naz
Samsam Mushtaq
Saima Nouman Khan
Tabish Raza
Zohaib Ahmad Khan
author_sort Amina Umer
collection DOAJ
description Objective: To determine frequency of peripheral arterial disease (PAD) using ankle brachial index and its various risk factors in Pakistani patients. Study Design: Cross-sectional study. Place and Duration of Study: Allama Iqbal Medical College, Jinnah Hospital, Lahore, from Jan 2017 to Apr 2017. Material and Methods: High risk type 2 diabetic patients were recruited for the study. After detailed history and clinical examination, fasting and 2-hours postprandial sugar levels and blood pressure were measured. Ankle brachial index (ABI) was used to measure PAD using portable smart dop instrument. Patients with ABI <0.9 were labeled as having PAD. Results: There were 100 subjects in the study with mean age 54.9 ± 9.1 years. The mean duration of diabetes was 9.15 ± 2.3 years. The mean systolic and diastolic blood pressure was 144 ± 14 mm Hg and 91 ± 6 mm Hg respectively. The mean fasting and 2-hours post prandial blood sugar level of the study population were 171.5 ± 9.12 and 202.6 ± 11.3 mg/dl respectively. Based on abnormal ABI <0.9, the prevalence of PAD was 41.0% in our study population. Higher mean age, duration of diabetes mellitus, mean systolic blood pressure and smoking were found to be statistically significant risk factors for PAD (p-value<0.01). Conclusion: PAD was highly prevalent in our population and was significantly associated with higher mean age of patients, longer duration of diabetes, higher systolic blood pressure and smoking.
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spelling doaj.art-135c6d06677a4bd1a6f1044ea0f0c2fa2022-12-21T19:26:21ZengArmy Medical College RawalpindiPakistan Armed Forces Medical Journal0030-96482411-88422018-08-01684749754FREQUENCY OF PERIPHERAL ARTERIAL DISEASE IN HIGH RISK TYPE 2 DIABETES MELLITUS USING ANKLE-BRACHIAL INDEX AND ITS ASSOCIATION WITH THE RISK FACTORS AMONG PATIENTS PRESENTING IN JINNAH HOSPITAL, LAHOREAmina Umer0Khurshid Ahmad Khan1Sadaf Naz2Samsam Mushtaq3Saima Nouman Khan4Tabish Raza5Zohaib Ahmad Khan6Asst Prof of Medicine, Allama Iqbal Medical College, Jinnah Hopital Lahore PakistanAllama Iqbal Medical College/Jinnah Hospital Lahore PakistanAllama Iqbal Medical College/Jinnah Hospital Lahore PakistanAllama Iqbal Medical College/Jinnah Hospital Lahore PakistanAllama Iqbal Medical College/Jinnah Hospital Lahore PakistanAllama Iqbal Medical College/Jinnah Hospital Lahore PakistanShaikh Khalifa Bin Zayed Al-Nahyan Medical and Dental College Lahore PakistanObjective: To determine frequency of peripheral arterial disease (PAD) using ankle brachial index and its various risk factors in Pakistani patients. Study Design: Cross-sectional study. Place and Duration of Study: Allama Iqbal Medical College, Jinnah Hospital, Lahore, from Jan 2017 to Apr 2017. Material and Methods: High risk type 2 diabetic patients were recruited for the study. After detailed history and clinical examination, fasting and 2-hours postprandial sugar levels and blood pressure were measured. Ankle brachial index (ABI) was used to measure PAD using portable smart dop instrument. Patients with ABI <0.9 were labeled as having PAD. Results: There were 100 subjects in the study with mean age 54.9 ± 9.1 years. The mean duration of diabetes was 9.15 ± 2.3 years. The mean systolic and diastolic blood pressure was 144 ± 14 mm Hg and 91 ± 6 mm Hg respectively. The mean fasting and 2-hours post prandial blood sugar level of the study population were 171.5 ± 9.12 and 202.6 ± 11.3 mg/dl respectively. Based on abnormal ABI <0.9, the prevalence of PAD was 41.0% in our study population. Higher mean age, duration of diabetes mellitus, mean systolic blood pressure and smoking were found to be statistically significant risk factors for PAD (p-value<0.01). Conclusion: PAD was highly prevalent in our population and was significantly associated with higher mean age of patients, longer duration of diabetes, higher systolic blood pressure and smoking.https://www.pafmj.org/index.php/PAFMJ/article/view/28/14ankle brachial indexdiabetes mellitusperipheral arterial disease
spellingShingle Amina Umer
Khurshid Ahmad Khan
Sadaf Naz
Samsam Mushtaq
Saima Nouman Khan
Tabish Raza
Zohaib Ahmad Khan
FREQUENCY OF PERIPHERAL ARTERIAL DISEASE IN HIGH RISK TYPE 2 DIABETES MELLITUS USING ANKLE-BRACHIAL INDEX AND ITS ASSOCIATION WITH THE RISK FACTORS AMONG PATIENTS PRESENTING IN JINNAH HOSPITAL, LAHORE
Pakistan Armed Forces Medical Journal
ankle brachial index
diabetes mellitus
peripheral arterial disease
title FREQUENCY OF PERIPHERAL ARTERIAL DISEASE IN HIGH RISK TYPE 2 DIABETES MELLITUS USING ANKLE-BRACHIAL INDEX AND ITS ASSOCIATION WITH THE RISK FACTORS AMONG PATIENTS PRESENTING IN JINNAH HOSPITAL, LAHORE
title_full FREQUENCY OF PERIPHERAL ARTERIAL DISEASE IN HIGH RISK TYPE 2 DIABETES MELLITUS USING ANKLE-BRACHIAL INDEX AND ITS ASSOCIATION WITH THE RISK FACTORS AMONG PATIENTS PRESENTING IN JINNAH HOSPITAL, LAHORE
title_fullStr FREQUENCY OF PERIPHERAL ARTERIAL DISEASE IN HIGH RISK TYPE 2 DIABETES MELLITUS USING ANKLE-BRACHIAL INDEX AND ITS ASSOCIATION WITH THE RISK FACTORS AMONG PATIENTS PRESENTING IN JINNAH HOSPITAL, LAHORE
title_full_unstemmed FREQUENCY OF PERIPHERAL ARTERIAL DISEASE IN HIGH RISK TYPE 2 DIABETES MELLITUS USING ANKLE-BRACHIAL INDEX AND ITS ASSOCIATION WITH THE RISK FACTORS AMONG PATIENTS PRESENTING IN JINNAH HOSPITAL, LAHORE
title_short FREQUENCY OF PERIPHERAL ARTERIAL DISEASE IN HIGH RISK TYPE 2 DIABETES MELLITUS USING ANKLE-BRACHIAL INDEX AND ITS ASSOCIATION WITH THE RISK FACTORS AMONG PATIENTS PRESENTING IN JINNAH HOSPITAL, LAHORE
title_sort frequency of peripheral arterial disease in high risk type 2 diabetes mellitus using ankle brachial index and its association with the risk factors among patients presenting in jinnah hospital lahore
topic ankle brachial index
diabetes mellitus
peripheral arterial disease
url https://www.pafmj.org/index.php/PAFMJ/article/view/28/14
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