| The ankle-brachial pressure index and a standardized questionnaire are easy and useful tools to detect peripheral arterial disease in non-claudicating patients at high risk. | |
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MedLine Citation:
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PMID: 17622205 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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AIM: This observational study (Survey of Peripheral Arterial Disease Epidemiology, SPADE) evaluated the prevalence of asymptomatic peripheral arterial disease (PAD) in general practice. METHODS: PAD was determined as an ankle-brachial pressure index (ABI) <0.9 measured with Doppler ultrasound. Included patients had a history of ischemic events and/or risk factors for PAD, but no spontaneous complaints of intermittent claudication. Patients with an ABI <0.9 filled in a standardized questionnaire and their drug use was registered. A total of 4 536 patients was included. RESULTS: The prevalence of PAD was 18.7% for the total population, 26.5% for those with a history of ischemic events and 15.2% for those without such history. The prevalence increased with age, but was independent of gender. A standard questionnaire revealed leg pain when walking uphill or when hurrying in 2/3 of patients with an ABI <0.9 and in 45% criteria for claudication were met. CONCLUSION: ABI detects PAD in a considerable number of asymptomatic patients at increased risk and followed in general practice. When properly questioned almost half of these patients appear to have intermittent claudication. |
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Authors:
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M Sprynger; C Fassotte; R Verhaeghe |
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Publication Detail:
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Type: Journal Article; Multicenter Study |
Journal Detail:
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Title: International angiology : a journal of the International Union of Angiology Volume: 26 ISSN: 0392-9590 ISO Abbreviation: Int Angiol Publication Date: 2007 Sep |
Date Detail:
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Created Date: 2007-07-11 Completed Date: 2007-12-11 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8402693 Medline TA: Int Angiol Country: Italy |
Other Details:
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Languages: eng Pagination: 239-44 Citation Subset: IM |
Affiliation:
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University Hospital Center of Liège, Liège, Belgium. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Age Distribution Aged Belgium / epidemiology Blood Pressure / physiology* Brachial Artery / physiopathology*, ultrasonography Family Practice Female Humans Male Middle Aged Peripheral Vascular Diseases / diagnosis, epidemiology, physiopathology* Prevalence Prognosis Questionnaires / standards* Risk Factors Severity of Illness Index Sex Distribution Tibial Arteries / physiopathology*, ultrasonography Ultrasonography, Doppler, Duplex |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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