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[Peripheral arterial disease of the lower limbs in African diabetic patients: ultrasonography and determining factors].
- Source :
-
Journal des maladies vasculaires [J Mal Vasc] 2014 Dec; Vol. 39 (6), pp. 373-81. Date of Electronic Publication: 2014 Sep 16. - Publication Year :
- 2014
-
Abstract
- Introduction: Diabetic peripheral arterial disease (PAD) of the lower limbs is underdiagnosed.<br />Methodology: This was a prospective study conducted over a six-month period from November 2012 to April 2013. A total of 308 diabetic patients were included from three diabetes centers in Abidjan (Ivory Coast).<br />Aim: To screen for PAD of the lower limbs in a diabetic population and to identify the determining factors.<br />Results: Among the 308 patients, the ankle-brachial index (ABI) was<0.9 in 68 (22.07%) patients considered to have PAD; the ABI was>1.3 in 56 (18.2%) patients who had suspected mediacalcosis. The average age of the PAD patients was 60.2 years. Female gender predominated (55.9%). The mean duration of diabetes was 9.6 years: 97.1% type 2 diabetes. The other cardiovascular risk factors in this population were hypertension (58.8%) and dyslipidemia (40.9%). Smoking was present in 29.4% of patients and obesity in 23.9%. PAD of the lower limbs was mild in 46 patients (67.6%), moderate in 16 (23.5%) and severe in 6 (8.8%). Duplex Doppler commonly showed lesions of the tibial arteries. Determining factors of diabetic PAD of the lower limbs were hypertension (58.8% vs 36.6%; OR=2.46; 95% CI: 1.13-5.36; P=0.034) and dyslipidemia (40.9% vs 8.3%; OR=7.6; 95% CI: 2.31-25.08; P=0.0009). For mediacalcosis, male gender (71.5% vs 39.7; OR=0.26 95% CI/0.10-0.64. P=0.004) was the only factor identified.<br />Conclusion: Hypertension and dyslipidemia were predictive factors for diabetic PAD of the lower limbs in our African population.<br /> (Copyright © 2014 Elsevier Masson SAS. All rights reserved.)
- Subjects :
- Adolescent
Adult
Aged
Aged, 80 and over
Ankle Brachial Index
Calcinosis diagnostic imaging
Cote d'Ivoire
Diabetes Mellitus, Type 1 complications
Diabetes Mellitus, Type 2 complications
Female
Humans
Hyperlipidemias complications
Hypertension complications
Joint Diseases diagnostic imaging
Male
Middle Aged
Obesity complications
Prospective Studies
Risk Factors
Sex Factors
Smoking adverse effects
Tunica Media
Ultrasonography
Vascular Diseases diagnostic imaging
Black People
Diabetes Complications diagnostic imaging
Diabetic Angiopathies diagnostic imaging
Leg blood supply
Peripheral Arterial Disease diagnostic imaging
Subjects
Details
- Language :
- French
- ISSN :
- 2214-8116
- Volume :
- 39
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Journal des maladies vasculaires
- Publication Type :
- Academic Journal
- Accession number :
- 25234283
- Full Text :
- https://doi.org/10.1016/j.jmv.2014.08.001