Document Detail


The prevalence of peripheral arterial disease in patients with heart failure by race and ethnicity.
MedLine Citation:
PMID:  20557331     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
More than 5 million people live with heart failure (HF) in the United States, and this number is expected to rise due to several factors including increased life expectancy brought about by medical therapy and the aging of the population. HF and peripheral arterial disease (PAD) share many risk factors. A review of the literature reveals several studies supporting a higher prevalence of HF in patients with PAD than in those without PAD. However, no study was found that estimates the prevalence of PAD in patients with HF. Moreover, the prevalence of PAD by US race/ethnic groups with HF has not been studied. The authors conducted a cross-sectional multicenter study of patients enrolled in an HF disease management program in Louisiana (n=330) and Florida (n=464). All patients with an ejection fraction <or=40% and a measured ankle-brachial index (ABI) were included in the study. PAD was defined as an ABI <0.9. The overall prevalence of PAD was 17.1%. The prevalence of PAD was 25.9% for white, 13.4% for Hispanic, and 13.7% for black patients. White patients had a higher prevalence of PAD than black or Hispanic patients (P<.001). Routine ABI measurements in these groups would enhance efforts to detect subclinical PAD.
Authors:
Kathy Hebert; Barbara Lopez; Christina Michael; Emiliana Franco; Andre Dias; Pat Trahan; Shi Huang; Leonardo Tamariz; Lee Arcement
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Congestive heart failure (Greenwich, Conn.)     Volume:  16     ISSN:  1751-7133     ISO Abbreviation:  Congest Heart Fail     Publication Date:    2010 May-Jun
Date Detail:
Created Date:  2010-06-18     Completed Date:  2011-06-02     Revised Date:  2011-10-19    
Medline Journal Info:
Nlm Unique ID:  9714174     Medline TA:  Congest Heart Fail     Country:  United States    
Other Details:
Languages:  eng     Pagination:  118-21     Citation Subset:  IM    
Copyright Information:
(c) 2010 Wiley Periodicals, Inc.
Affiliation:
Cardiovascular Division, Miller School of Medicine, University of Miami, Jackson Memorial Hospital, Miami, FL 33136, USA. khebert1@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Aging
Ankle Brachial Index
Continental Population Groups*
Cross-Sectional Studies
Ethnic Groups*
Female
Florida
Heart Failure / diagnosis,  epidemiology*,  ethnology
Humans
Louisiana
Male
Middle Aged
Multivariate Analysis
Peripheral Arterial Disease / diagnosis,  epidemiology*,  ethnology
Prevalence
Risk Factors
Stroke Volume
United States / epidemiology
Ventricular Function, Left

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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