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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Association de la Recherche Pharmaceutique & d'Enrichissement des connaissances (ARPEC)
2021-06-01
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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. |
first_indexed | 2024-12-22T06:21:09Z |
format | Article |
id | doaj.art-a2c3a0d8a00d4745ba4971231f9d1f3e |
institution | Directory Open Access Journal |
issn | 2437-0665 |
language | Arabic |
last_indexed | 2024-12-22T06:21:09Z |
publishDate | 2021-06-01 |
publisher | Association de la Recherche Pharmaceutique & d'Enrichissement des connaissances (ARPEC) |
record_format | Article |
series | Batna Journal of Medical Sciences |
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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