Correlation Between Ankle Brachial Index and Coronary Artery Disease Severity in Elderly Egyptians

Author:

Amer Moatasem S.1,Tawfik Heba Mohamed1,Elmoteleb Ayman M. Abd2,Maamoun Manar M. A.1

Affiliation:

1. Geriatric Medicine & Gerontology Department, Ain Shams University, Cairo, Egypt

2. Department of Cardiovascular Medicine, Ain Shams University, Cairo, Egypt

Abstract

We investigated the association between ankle brachial index (ABI) and coronary heart disease (CHD) severity in elderly Egyptians using different measures. We conducted a case–control study from November 2010 to June 2012 including 200 male and female patients with ischemia ≥60 years who were divided into 100 cases and 100 controls according to ABI and redivided according to age. They underwent coronary angiography followed by ABI measurement using a hand-held Doppler. The CHD severity was estimated using the SYNTAX and Jeopardy scores and number of diseased vessels, which increased significantly in patients with peripheral artery disease ( P < .001) for all. All 3 measures had strong negative correlation with ABI ( P ≤ .001 for Jeopardy, <.001 for SYNTAX scores, and .004 for number of diseased vessels) and were correlated with each other. We concluded that ABI can reflect CHD severity in elderly Egyptians.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine

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