J Korean Med Sci.  2012 Jun;27(6):625-629. 10.3346/jkms.2012.27.6.625.

High Prevalence of Peripheral Arterial Disease in Korean Patients with Coronary or Cerebrovascular Disease

• Ahn S
• Park YJ
• Min SI
• Kim SY
• Ha J
• Kim SJ
• Kim HS
• Yoon BW
• Min SK

• KMID: 1421614
• DOI: http://doi.org/10.3346/jkms.2012.27.6.625

Abstract

This prospective study surveyed the prevalence of peripheral arterial disease (PAD) in Korean patients with coronary arterial disease (CAD) or cerebrovascular disorder (CVD). From March 2010, 576 hospitalized patients in cardiovascular or stroke center were enrolled as the study group. Ankle-brachial index (ABI) was measured and the cut-off point for diagnosing PAD was < or = 0.9 at rest. A total of 424 hospitalized patients in the Department of Surgery and aged > or = 50 yr was enrolled as the control group. The prevalence of PAD was significantly higher in the study group than the control group (7.6% vs 1.7%; P < 0.001). To analyze the relationship of other vascular diseases and PAD, the patients were regrouped; group A (no CAD or CVD), group B (CAD only), group C (CVD only), and group D (CAD and CVD). Compared with group A, those with other vascular diseases (group B, C, D) had significantly higher prevalence of PAD, diabetes, dyslipidemia, renal insufficiency and claudication. The trend that patients with CAD or CVD are at risk of PAD is observed in this cross-sectional study in Koreans. Routine ABI measurement is recommended in these high-risk groups for early detection and proper management of PAD.

Keyword

Ankle-Brachial Index; Peripheral Arterial Disease; Prevalence; Coronary Artery Disease; Cerebrovascular Disorder

MeSH Terms

Aged
Ankle Brachial Index
Cerebrovascular Disorders/complications/*epidemiology
Coronary Artery Disease/complications/*epidemiology
Cross-Sectional Studies
Female
Humans
Male
Middle Aged
Odds Ratio
Peripheral Arterial Disease/*epidemiology/etiology
Prevalence
Prospective Studies
Republic of Korea/epidemiology
Risk Factors

Figure

• 

  Fig. 1 Typical overlap in vascular diseases affecting different territories. PAD, peripheral artery disease.

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