Management of polyvascular disease: a cross-sectional monocentric study in eastern Algeria

Introduction. The rates of atherosclerotic disease as well as its multifocal aspects have been increasing significantly. It is important to know these associations to ensure a comprehensive management of this category of patients. Aim. To estimate the frequency of the principal peripheral ather...

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Main Authors: Rachid Merghit, Ikhlas Gueriane, Mouloud Ait Athmane, Abdelhak Lakeha
Format: Article
Language:Arabic
Published: Association de la Recherche Pharmaceutique & d'Enrichissement des connaissances (ARPEC) 2021-06-01
Series:Batna Journal of Medical Sciences
Subjects:
Online Access:https://batnajms.net/wp-content/uploads/Archives/2021/1/04_BJMS_8_1_Merghit.pdf
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author Rachid Merghit
Ikhlas Gueriane
Mouloud Ait Athmane
Abdelhak Lakeha
author_facet Rachid Merghit
Ikhlas Gueriane
Mouloud Ait Athmane
Abdelhak Lakeha
author_sort Rachid Merghit
collection DOAJ
description Introduction. The rates of atherosclerotic disease as well as its multifocal aspects have been increasing significantly. It is important to know these associations to ensure a comprehensive management of this category of patients. Aim. To estimate the frequency of the principal peripheral atherosclerotic associations in patients with coronary artery disease referred to cardiology in the University Hospital of Constantine. Methods. Our study is descriptive, crosssectional, and mono-centric carried out in the unit of cardiovascular investigations of the Regional Military University Hospital of Constantine. The included patients had at least one significant coronary lesion ≥50 in a principle coronary artery. All our patients underwent an ultrasound evaluation (supra- aortic trunk echo-Doppler, Doppler Ultrasound of the aorta and lower limbs). Data was processed using SPSS Statistics V22. Results. The frequency of the association of Peripheral Artery Disease and Coronary Artery Disease was 34.7% representing the most frequent association. A hemodynamic carotid lesion (≥ 50%) and Abdominal Aortic Aneurysm were associated respectively with Coronary Artery Disease in 12% and 4.6% of patients in the current study. The triple association of coronary artery disease, Abdominal Aortic Aneurysm and hemodynamic carotid disease was observed in 2.67%, whereas the triple association of Peripheral Artery Disease, coronary artery disease, and carotid stenosis≥50% was observed in 6.67%. The frequency of the association of coronary artery disease, Peripheral Artery Disease and Abdominal Aortic Aneurysm was estimated at 3, 66%. The therapeutic strategy for multi-focal atherosclerotic disease is still discussed, but coronary artery disease dominates the prognosis. Conclusion. Carrying out a comprehensive assessment of patients with coronary artery disease helps significantly in establishing an adapted and pertinent management with an acceptable BenefitCost Ratio.
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spelling doaj.art-a2c3a0d8a00d4745ba4971231f9d1f3e2022-12-21T18:35:58ZaraAssociation de la Recherche Pharmaceutique & d'Enrichissement des connaissances (ARPEC)Batna Journal of Medical Sciences2437-06652021-06-0181192310.48087/BJMSoa.2021.8104Management of polyvascular disease: a cross-sectional monocentric study in eastern AlgeriaRachid Merghit0Ikhlas Gueriane1Mouloud Ait Athmane2Abdelhak Lakeha3Cardiology department, Regional Military University Hospital, Ali Mendjeli, Constantine, Algeria 25,000Cardiology department, Regional Military University Hospital, Ali Mendjeli, Constantine, Algeria 25,000Cardiology department, Annaba university hospital center, Algeria 23,000 Epidemiology department, university hospital center of Constantine, Algeria 25,000Introduction. The rates of atherosclerotic disease as well as its multifocal aspects have been increasing significantly. It is important to know these associations to ensure a comprehensive management of this category of patients. Aim. To estimate the frequency of the principal peripheral atherosclerotic associations in patients with coronary artery disease referred to cardiology in the University Hospital of Constantine. Methods. Our study is descriptive, crosssectional, and mono-centric carried out in the unit of cardiovascular investigations of the Regional Military University Hospital of Constantine. The included patients had at least one significant coronary lesion ≥50 in a principle coronary artery. All our patients underwent an ultrasound evaluation (supra- aortic trunk echo-Doppler, Doppler Ultrasound of the aorta and lower limbs). Data was processed using SPSS Statistics V22. Results. The frequency of the association of Peripheral Artery Disease and Coronary Artery Disease was 34.7% representing the most frequent association. A hemodynamic carotid lesion (≥ 50%) and Abdominal Aortic Aneurysm were associated respectively with Coronary Artery Disease in 12% and 4.6% of patients in the current study. The triple association of coronary artery disease, Abdominal Aortic Aneurysm and hemodynamic carotid disease was observed in 2.67%, whereas the triple association of Peripheral Artery Disease, coronary artery disease, and carotid stenosis≥50% was observed in 6.67%. The frequency of the association of coronary artery disease, Peripheral Artery Disease and Abdominal Aortic Aneurysm was estimated at 3, 66%. The therapeutic strategy for multi-focal atherosclerotic disease is still discussed, but coronary artery disease dominates the prognosis. Conclusion. Carrying out a comprehensive assessment of patients with coronary artery disease helps significantly in establishing an adapted and pertinent management with an acceptable BenefitCost Ratio.https://batnajms.net/wp-content/uploads/Archives/2021/1/04_BJMS_8_1_Merghit.pdfcoronary artery diseaseperipheral atheromatous diseasepan-vascular therapy
spellingShingle Rachid Merghit
Ikhlas Gueriane
Mouloud Ait Athmane
Abdelhak Lakeha
Management of polyvascular disease: a cross-sectional monocentric study in eastern Algeria
Batna Journal of Medical Sciences
coronary artery disease
peripheral atheromatous disease
pan-vascular therapy
title Management of polyvascular disease: a cross-sectional monocentric study in eastern Algeria
title_full Management of polyvascular disease: a cross-sectional monocentric study in eastern Algeria
title_fullStr Management of polyvascular disease: a cross-sectional monocentric study in eastern Algeria
title_full_unstemmed Management of polyvascular disease: a cross-sectional monocentric study in eastern Algeria
title_short Management of polyvascular disease: a cross-sectional monocentric study in eastern Algeria
title_sort management of polyvascular disease a cross sectional monocentric study in eastern algeria
topic coronary artery disease
peripheral atheromatous disease
pan-vascular therapy
url https://batnajms.net/wp-content/uploads/Archives/2021/1/04_BJMS_8_1_Merghit.pdf
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AT mouloudaitathmane managementofpolyvasculardiseaseacrosssectionalmonocentricstudyineasternalgeria
AT abdelhaklakeha managementofpolyvasculardiseaseacrosssectionalmonocentricstudyineasternalgeria