E-ISSN 0976-2833 | ISSN 0975-3583
 

Original Article 


Coronary Artery Disease in Patients with Type 2 DiabetesMellitus: Correlating Ankle Brachial Pressure Index with Coronary Angiography

Nikhil Victor Dsouza, Smitha Bhat.

Abstract
Diabetes mellitus (DM) affects over 366 million people worldwide ; this figure is expected to rise to 522 million by the
year 2030. The macrovascular complications of diabetes cause morbidity and mortality. Ankle brachial pressure index
(ABPI) is a simple non-invasive tool which may indicate atherosclerotic changes in the blood vessels. It is useful in diagnosis
of peripheral artery disease (PAD), and is also an indicator of increased cardiovascular morbidity and mortality. Previous
studies have reported a correlation between ABPI and coronary artery disease (CAD). Despite the well-established
association between diabetes and coronary artery disease, the role of ABPI in predicting the presence and severity of
CAD in diabetics has not been proven. The study was done to find whether there was an association between ABPI and
coronary angiogram in diabetics. Materials and Methods: This was a cross sectional study that included 100 patients
of Diabetes Mellitus who had undergone a coronary angiogram during the current admission. All coronary angiograms
were evaluated by a cardiologist. The ABPI was measured according to the standardized protocol before the patients
underwent the coronary angiogram procedure. Results: Out of the patients, 4 patients (4.3%) had ABPI < 0.9 out of
which 2 (50%) had double vessel disease and 2 (50%) had triple vessel disease. Conclusion: Though all patients with
abnormal ABPI had CAD as assessed by CAG, not all patients with abnormal CAG had abnormal ABPI. Thus the utility of
ABPI as a surrogate marker in screening of CAD is limited.

Key words: Ankle brachial pressure index, Coronary angiography, Diabetes mellitus.


 
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Pubmed Style

Nikhil Victor Dsouza, Smitha Bhat. Coronary Artery Disease in Patients with Type 2 DiabetesMellitus: Correlating Ankle Brachial Pressure Index with Coronary Angiography. J Cardiovasc. Dis. Res.. 2018; 9(3): 141-145. doi:10.5530/jcdr.2018.3.31


Web Style

Nikhil Victor Dsouza, Smitha Bhat. Coronary Artery Disease in Patients with Type 2 DiabetesMellitus: Correlating Ankle Brachial Pressure Index with Coronary Angiography. http://www.jcdronline.org/?mno=93752 [Access: January 16, 2022]. doi:10.5530/jcdr.2018.3.31


AMA (American Medical Association) Style

Nikhil Victor Dsouza, Smitha Bhat. Coronary Artery Disease in Patients with Type 2 DiabetesMellitus: Correlating Ankle Brachial Pressure Index with Coronary Angiography. J Cardiovasc. Dis. Res.. 2018; 9(3): 141-145. doi:10.5530/jcdr.2018.3.31



Vancouver/ICMJE Style

Nikhil Victor Dsouza, Smitha Bhat. Coronary Artery Disease in Patients with Type 2 DiabetesMellitus: Correlating Ankle Brachial Pressure Index with Coronary Angiography. J Cardiovasc. Dis. Res.. (2018), [cited January 16, 2022]; 9(3): 141-145. doi:10.5530/jcdr.2018.3.31



Harvard Style

Nikhil Victor Dsouza, Smitha Bhat (2018) Coronary Artery Disease in Patients with Type 2 DiabetesMellitus: Correlating Ankle Brachial Pressure Index with Coronary Angiography. J Cardiovasc. Dis. Res., 9 (3), 141-145. doi:10.5530/jcdr.2018.3.31



Turabian Style

Nikhil Victor Dsouza, Smitha Bhat. 2018. Coronary Artery Disease in Patients with Type 2 DiabetesMellitus: Correlating Ankle Brachial Pressure Index with Coronary Angiography. Journal of Cardiovascular Disease Research, 9 (3), 141-145. doi:10.5530/jcdr.2018.3.31



Chicago Style

Nikhil Victor Dsouza, Smitha Bhat. "Coronary Artery Disease in Patients with Type 2 DiabetesMellitus: Correlating Ankle Brachial Pressure Index with Coronary Angiography." Journal of Cardiovascular Disease Research 9 (2018), 141-145. doi:10.5530/jcdr.2018.3.31



MLA (The Modern Language Association) Style

Nikhil Victor Dsouza, Smitha Bhat. "Coronary Artery Disease in Patients with Type 2 DiabetesMellitus: Correlating Ankle Brachial Pressure Index with Coronary Angiography." Journal of Cardiovascular Disease Research 9.3 (2018), 141-145. Print. doi:10.5530/jcdr.2018.3.31



APA (American Psychological Association) Style

Nikhil Victor Dsouza, Smitha Bhat (2018) Coronary Artery Disease in Patients with Type 2 DiabetesMellitus: Correlating Ankle Brachial Pressure Index with Coronary Angiography. Journal of Cardiovascular Disease Research, 9 (3), 141-145. doi:10.5530/jcdr.2018.3.31





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