UNDIAGNOSED PERIPHERAL ARTERIAL DISEASE PREVALENCE AMONG PATIENTS OF DIABETES MELLITUS

Dr M Mosa Ayub1, Dr Mian Umair Ahmed Arif 2, Dr Ahmed Ghassan3
2021 Zenodo  
Peripheral Artery Disease (PAD) affects 12 million people in the US. 11.7% in Pakistan. Diabetes (DM) has a significant correlation with PAD. Patients with PAD and DM have a greater risk of amputation than just PAD. Aim: Our study aimed to measure the prevalence of PAD among diabetics, and to explore quality of management by determining the frequency of ankle-brachial index (ABI) measurement among them. Moreover, it aimed to educate people about PAD and its risk factors. Place and Duration: In
more » ... he Medicine Unit II of Services Hospital, Lahore for one-year duration from March 2018 to March 2019. Methods and materials: A cross-sectional study involving 161 diabetic patients. They were interviewed using a questionnaire about demographics, past medical history and ordinary history. The second part concerned the physical examination of the lower limbs and ABI measurements; values below 0.9 or higher than 1.3 were considered incorrect. Results: Of the 161 diabetic patients included in the study, 104 (64.6%) were middle-aged 55.3 ± 11.472 and 59.39 ± 12.974 male. 55.9% were hypertensive and 75.8% hypercholesterolemic. 18 (11.2%) smokers were 14 (77.8%) men. 64 (39.8%) cases performed regular exercises, 38 (59.4%) were women. ITB <0.9 was detected in 32 (19.9%). While 24 of them (75%) are middle-aged women 59, 66 are men. Among people with low ITB 7 (23.3%) had symptoms. The most common symptom was numbness and tingling. In addition, 31 (96.9%) patients with PAD had an additional diagnosis other than diabetes. 24 of them (77.4%) are women, and hypercholesterolemia was the most common comorbid disease. Three (9.4%) PAD patients smoked. Conclusion: In Pakistan, one fifth of DM patients had PAD; the majority is asymptomatic and was females. Large percent of the subjects were not checked by ABI, o [...]
doi:10.5281/zenodo.4446375 fatcat:duwl6yxc35bvndzxrrfiijfq5y