%0 Journal Article
%T The Prevalence of Undiagnosed Peripheral Arterial Disease in Diabetic Patients
%A Abdulaziz Aldahlawi
%A Abdulhalim Jamal Kinsara
%A Abeer Nafadi
%A Ahmed Alem
%A Arwa Alghamdi
%A Mohammed Alandejani
%A Mohammed Babgi
%J Open Access Journal of Cardiology | Pubmed Indexed Cardiology Journals
%D 2018
%R 10.15226/2374-6882/5/1/00150
%X Introduction: Peripheral arterial disease (PAD) affects 12 million persons in the US, and 11.7% in Saudi Arabia. Diabetes Mellitus (DM) has a significant correlation with PAD. The risk of amputation in patients with both PAD and DM is higher than in PAD alone. 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. Methods and Materials: A cross-sectional study that included 161 diabetics from three primary care centers in Jeddah, Saudi Arabia. They were interviewed using a questionnaire on demographics, past medical history, and habitual history. A second part was for physical examination of lower limbs and ABI Measurements; where values less than 0.9 or more than 1.3 were considered abnormal. Results: Among 161 diabetic patients enrolled in our study, 104 (64.6%) were females with mean age of 55.3 ¡À 11.472 years, and 59.39 ¡À 12.974 years for males. Out of the subjects, 55.9% were receiving treatment for hypertension, and 75.8% were receiving treatment for hypercholesterolemia. 18(11.2%) were smokers, 14 (77.8%) of those were males. 64 (39.8%) of the subjects were doing regular exercises in which 38 (59.4%) were females. 32 (19.9%) were found to have an ABI < 0.9. 24 (75%) of them were females with mean age of 59 years, while 66 years for males. Among subjects with low ABI, 7(23.3%) were symptomatic. The most common presentation was numbness and tingling sensation. Also, 31(96.9%) of PAD patients had co morbidity other than diabetes. 24 (77.4%) of them were females, with hypercholesterolemia being the most common co morbidity. 3 (9.4%) of PAD patients were smokers. Conclusion: In Saudi Arabia, one fifth of DM patients had PAD; the majority is asymptomatic and was females. Large percent of the subjects were not checked by ABI, or the patient was not well informed about PAD, which urge all physicians to consider a periodic check-up for PAD using ABI. Majority of subjects had multiple co morbidities. Keywords: Peripheral arterial disease; Diabetes Mellitus; Atherosclerosis; Ankle Brachial Index; Prevalenc
%U https://symbiosisonlinepublishing.com/cardiology/cardiology50.php