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16 de abril

2022, Number 284

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16 de abril 2022; 61 (284)

Detection of chronic occlusive arterial disease of the lower extremities in health centers

Cedillo-Balcázar J

Language: Spanish
References: 76
Page: 1-7
PDF size: 291.90 Kb.


ABSTRACT

Introduction: the timely detection of chronic arterial occlusive disease of the lower extremities allows to reduce the frequency of amputations and cardiovascular death; however, this disease turns out to be underdiagnosed due to the lack of knowledge of available diagnostic methods. Objective: to describe the diagnostic strategies and tools for the detection of chronic arterial occlusive disease of the lower extremities, accessible and applicable in health centers. Methods: the information search was carried out in PubMed, Scopus and SciELO using the terms Primary Health Care; Peripheral Arterial Disease and Risk Factors, in Spanish and English. Taking into account the inclusion and exclusion criteria, a total of 38 articles were selected. Development: Chronic arterial occlusive disease of the lower extremities is a systemic condition that can be suspected due to the presence of cardiovascular risk factors, low ankle-brachial index test values and/or clinical manifestations. Conclusions: clinical questioning aimed at searching for risk factors and clinical manifestations is the initial strategy for detecting chronic arterial occlusive disease of the lower extremities. The ankle-brachial index test has a good diagnostic performance for chronic arterial occlusive disease of the lower extremities, with an excellent cost-benefit ratio. It also allows determining the cardiovascular and amputation risk, which makes it the ideal tool for the detection of chronic arterial occlusive disease of the lower extremities in health centers.


REFERENCES

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  3. Abry L, Weiss S, MakaloskiV, Haynes AG, Schmidli J, Wyss T etal. Peripheral Artery Disease Leadingto Major Amputation: Trends in Revascularizationand Mortality Over18 Years. Ann Vasc Surg. [Internet].2021 [citado 04/11/2021]; 78:295-301. Disponible en: https://doi.org/10.1016/j.avsg.2021.04.037

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  18. Sfyri P, Matsakas A. Crossroadsbetween peripheral atherosclerosis,western-type diet and skeletalmuscle pathophysiology: emphasison apolipoprotein E deficiency andperipheral arterial disease. Journal of biomedical science. [Internet]. 2017[citado 08/11/2021]; 24(1):42. Disponibleen: https://doi.org/10.1186/s12929-017-0346-8

  19. Li Q, Chen L, Shen Y, Li J,Dong Y. A modified axillo-femoralperfusion for acute type an aorticdissection accompanied with lowerlimb malperfusion. Journal of cardiothoracicsurgery. [Internet]. 2020[citado 08/11/2021]; 15(1):10. Disponibleen: https://doi.org/10.1186/s13019-020-1060-2

  20. Donohue CM, Adler JV,Bolton LL. Peripheral arterial diseasescreening and diagnostic practice:A scoping review. Internationalwound journal. [Internet]. 2020 [citado04/11/2021]; 17(1):32-44. Disponibleen: https://doi.org/10.1111/iwj.13223

  21. Rümenapf G, Morbach S,Schmidt A, Sigl M. Intermittent Claudicationand Asymptomatic PeripheralArterial Disease. Deutsches Arzteblattinternational. [Internet]. 2020[citado 05/11/2021]; 117(11):188-193. Disponible en: https://doi.org/10.3238/arztebl.2020.0188

  22. Rammos C, Kontogiannis A,Mahabadi AA, Steinmetz M, MessihaD, Messiha Daniel, et al. Risk stratificationand mortality prediction inocto- and nonagenarians with peripheralartery disease: a retrospectiveanalysis. BMC cardiovasculardisorders. [Internet]. 2021[citado08/11/2021]; 21(1):370. Disponibleen: https://doi.org/10.1186/s12872-021-02177-1

  23. Mizzi A, Cassar K, Bowen C,Formosa C. The progression rate ofperipheral arterial disease in patientswith intermittent claudication: a systematicreview. Journal of foot andankle research. [Internet]. 2019 [citado07/11/2021]; 12(40). Disponibleen: https://doi.org/10.1186/s13047-019-0351-0

  24. Georg Kieback A, Espinola-Klein C, Lamina C, Moebus S, TillerD, Lorbeer R, et al. One simpleclaudication question as first stepin Peripheral Arterial Disease (PAD)screening: A meta-analysis of theassociation with reduced AnkleBrachial Index (ABI) in 27,945 subjects.PloS one [Internet] 2019 [citado04/11/2021]; 14(11): e0224608. Disponibleen: https://doi.org/10.1371/journal.pone.0224608

  25. Aragão JA, Andrade LG, NevesO, Aragão LC, Aragão FM PradoF, et al. Anxiety and depressionin patients with peripheral arterialdisease admitted to a tertiary hospital.Jornal vascular brasileiro. [Internet].2019 [citado 08/11/2021];18:e20190002. Disponible en: https://doi.org/10.1590/1677-5449.190002

  26. Striberger R, Axelsson M,Zarrouk M, Kumlien C. Illness perceptionsin patients with peripheral arterialdisease: A systematic review ofqualitative studies. International journalof nursing. [Internet]. 2020 [citado05/11/2021]; 116:103723. Disponibleen: https://doi.org/10.1016/j.ijnurstu.2020.103723

  27. Conte MS, Bradbury AW,Kolh P, White JV, Dick F, Fritidge R,et al. Global Vascular Guidelineson the Management of ChronicLimb-Threatening Ischemia. Europeanjournal of vascular and endovascularsurgery: the official journalof the European Society for VascularSurgery. [Internet]. 2019 [citado05/11/2021]; 58(1S):S1-09.e33. Disponibleen: https://doi.org/10.1016/j.ejvs.2019.05.006

  28. Okamoto S, Lida O, TakaharaM, Hata Y, Aasai M, MasudaM, et al. A Global Vascular Guidelines-Based Bypass-Preferred Populationand Their Surgical Risk AmongCLTI Patients Treated With EndovascularTherapy in a Real-WorldPractice. Journal of endovasculartherapy: an official journal of theInternational Society of EndovascularSpecialists [Internet]. 2020[citado 05/11/2021]; 27(4):608-613. Disponible en: https://doi.org/10.1177/1526602820924338

  29. Almasri J, Adusumalli J,Asi N, Lakis S, Alsawas M, ProkopLJ, et al. A systematic review andmeta-analysis of revascularizationoutcomes of infrainguinal chroniclimb-threatening ischemia. Journalof vascular surgery. [Internet].2018 [citado 04/11/2021]; 68(2):624-633. Disponible en: https://doi.org/10.1016/j.jvs.2018.01.066

  30. Lu Y, Ballew HS, TanakaH, Szklo M, Heiss G, Coresh J,et al. 2017 ACC/AHA blood pressureclassification and incidentperipheral artery disease: The AtherosclerosisRisk in Communities(ARIC) Study. European journal ofpreventive cardiology. [Internet].2020 [citado 06/11/2021]; 27(1):51-59. Disponible en: https://doi.org/10.1177/2047487319865378

  31. Cannavale A, Santoni M, GazzattiM, Catalano C, Fanelli F. UpdatedClinical and Radiological Classificationof Lower Limb AtheroscleroticDisease. Annals of vascular surgery.[Internet]. 2019 [citado 05/11/2021];55:272-284. Disponible en: https://doi.org/10.1016/j.avsg.2018.06.011

  32. Hiatt WR, Hess CN, BonacaMP, Kavanagh S, Patel MR,Baumgartner I et al. Ankle-BrachialIndex for Risk Stratification in PatientsWith Symptomatic PeripheralArtery Disease With and WithoutPrior Lower Extremity Revascularization:Observations From the EUCLIDTrial. Circ Cardiovasc Interv.[Internet]. 2021 [citado 06/11/2021];14(7):e009871. Disponible en:https://doi.org/doi:10.1161/CIRCINTERVENTIONS.120.009871

  33. Rochoy M, Doublali A, BerkhoutC. Utilisation de l’index de pressionsystolique dans le dépistage del’artériopathie du membre inférieur enmédecine générale. Annales de cardiologieet d’angeiologie. [Internet].2021 [citado 05/11/2021]; 70(2):75-80. Disponible en: https://doi.org/10.1016/j.ancard.2020.12.006

  34. Hopley CW, Kavanagh S,Patel MR, Ostrom C, Baumgartner I,Berger JS et al. Chronic kidney diseaseand risk for cardiovascular andlimb outcomes in patients with symptomaticperipheral artery disease:The EUCLID trial. Vascular medicine(London, England). [Internet]. 2019[citado 04/11/2021]; 24(5):422-430. Disponible en: https://doi.org/10.1177/1358863X19864172

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  40. Sun H, Liu L, Jing Y, WangJ, Zhou Y, Kang Chen et al. Post-exerciseankle-brachial index declineand risk of all-cause mortality: A meta-analysis. European journal of preventivecardiology. [Internet]. 2020[citado 04/11/2021]; 27(11):1225-1227. Disponible en: https://doi.org/10.1177/2047487319849507

  41. Abry L, Weiss S, MakaloskiV, Haynes AG, Schmidli J, Wyss T etal. Peripheral Artery Disease Leadingto Major Amputation: Trends in Revascularizationand Mortality Over18 Years. Ann Vasc Surg. [Internet].2021 [citado 04/11/2021]; 78:295-301. Disponible en: https://doi.org/10.1016/j.avsg.2021.04.037

  42. Del Brutto OH, Sedler MJ,Zambrano M, Mera RM, Phelan KJ,Gruen JA, et al. Comparison of fieldquestionnaires with the ankle-brachialindex for the detection of peripheralartery disease. A population-basedstudy in rural Ecuador. Internationaljournal of cardiology. [Internet].2014 [citado 04/11/2021];177(2):703-4. Disponible en: https://doi.org/10.1016/j.ijcard.2014.09.188

  43. Barrera-Guarderas F, Carrasco-Tenezaca F, De la Torre-CisnerosK. Peripheral Artery Diseasein Type 2 Diabetes Mellitus: SurvivalAnalysis of an Ecuadorian Populationin Primary Care. Journal of primarycare & community health. [Internet].2020 [citado 10/11/2021];11:1-9. Disponible en: https://doi.org/10.1177/2150132720957449

  44. Song P, Rudan D, Zhu Y,Fowkes F, Rahimi K, Fowkes GR et al.Global, regional, and national prevalenceand risk factors for peripheralartery disease in 2015: an updatedsystematic review and analysis. TheLancet. [Internet]. 2019 [citado10/11/2021]; 7:e1020-e1030. Disponibleen: https://doi.org/10.1016/S2214-109X(19)30255-4

  45. Yip W, Fu H, Chen AT, Zhai T,Jian W, Xu R et al. 10 years of healthcarereform in China: progress andgaps in Universal Health Coverage.The Lancet. [Internet]. 2019 [citado08/11/2021]; 394(10204):1192-1204. Disponible en : https://doi.org/10.1016/S0140-6736(19)32136-1

  46. Saloner B, Wilk AS, LevinJ. Community Health Centers andAccess to Care Among UnderservedPopulations: A SynthesisReview. Medical care research andreview: MCRR. [Internet]. 2020[citado 06/11/2021]; 77(1):3-18. Disponible en: https://doi.org/10.1177/1077558719848283

  47. Liu F, Du J, Nie M, Fu J, SunJ. 5,10-methylenetetrahydrofolate reductaseC677T gene polymorphismand peripheral arterial disease: Ameta-analysis. Vascular [Internet].2021 [citado 08/11/2021]; 29(6):913-919. Disponible en: https://doi.org/10.1177/1708538120982698

  48. Poznyak A, Andrey VG, OrekhovAN, Poggio P, Myasoedova VA,Alfieri V. The Diabetes Mellitus-AtherosclerosisConnection: The Role ofLipid and Glucose Metabolism andChronic Inflammation. Internationaljournal of molecular sciences. [Internet].2020 [citado 04/11/2021];21(5):1835. Disponible en: https://doi.org/10.3390/ijms21051835

  49. Hap K, Biernat K, Konieczny,G. Patients with Diabetes Complicatedby Peripheral Artery Disease:the Current State of Knowledgeon Physiotherapy Interventions.Journal of diabetes research. [Internet].2021 [citado 04/11/2021];5122494. Disponible en: https://doi.org/10.1155/2021/5122494

  50. Schaller MS, Chen M, ColasRA, Sorrentino TA, Lazar AA, GrenonSM et al. Treatment With a MarineOil Supplement Alters Lipid Mediatorsand Leukocyte Phenotype inHealthy Patients and Those WithPeripheral Artery Disease. Journalof the American Heart Association.[Internet]. 2020 [citado 06/11/2021];9(15):e016113. Disponible en: https://doi.org/10.1161/JAHA.120.016113

  51. Ramirez JL, Gasper WJ,Khetani SA, Zahner GJ, Hills NK,Mitchell PT, et al. Fish Oil IncreasesSpecialized Pro-resolving Lipid Mediatorsin PAD (The OMEGA-PAD II Trial).The Journal of surgical research.[Internet]. 2019 [citado 05/11/2021];238:164-174. Disponible en: https://doi.org/10.1016/j.jss.2019.01.038

  52. Jeong IH, Bae WY, Choi JS,Jeong JW. Ischemia induces autophagyof endothelial cells and stimulatesangiogenic effects in a hindlimbischemia mouse model. Cell death& disease. [Internet]. 2020 [citado04/11/2021]; 11(8):624. Disponibleen: https://doi.org/10.1038/s41419-020-02849-4

  53. Zhu Y, Xian X, Wang Z, Bi Y,Chen Q, Han X et al. Research Progresson the Relationship betweenAtherosclerosis and Inflammation.Biomolecules. [Internet]. 2018[citado 05/11/2021]; 8(3):80. Disponibleen: https://doi.org/10.3390/biom8030080

  54. Steven S, Daiber A, DopheideJF, Münzel T, Espinola-Klein C. Peripheralartery disease, redox signaling,oxidative stress - Basic and clinicalaspects. Redox biology. [Internet].2017 [citado 04/11/2021]; 12:787-797. Disponible en: https://doi.org/10.1016/j.redox.2017.04.017

  55. Spannbauer A, Chwała M,Ridan T, Berwecki A, Mika P, KulikA, et al. Intermittent Claudication inPhysiotherapists’ Practice. BioMedresearch international. [Internet].2019 [citado 08/11/2021];2470801. Disponible en: https://doi.org/10.1155/2019/2470801

  56. Sfyri P, Matsakas A. Crossroadsbetween peripheral atherosclerosis,western-type diet and skeletalmuscle pathophysiology: emphasison apolipoprotein E deficiency andperipheral arterial disease. Journal of biomedical science. [Internet]. 2017[citado 08/11/2021]; 24(1):42. Disponibleen: https://doi.org/10.1186/s12929-017-0346-8

  57. Li Q, Chen L, Shen Y, Li J,Dong Y. A modified axillo-femoralperfusion for acute type an aorticdissection accompanied with lowerlimb malperfusion. Journal of cardiothoracicsurgery. [Internet]. 2020[citado 08/11/2021]; 15(1):10. Disponibleen: https://doi.org/10.1186/s13019-020-1060-2

  58. Donohue CM, Adler JV,Bolton LL. Peripheral arterial diseasescreening and diagnostic practice:A scoping review. Internationalwound journal. [Internet]. 2020 [citado04/11/2021]; 17(1):32-44. Disponibleen: https://doi.org/10.1111/iwj.13223

  59. Rümenapf G, Morbach S,Schmidt A, Sigl M. Intermittent Claudicationand Asymptomatic PeripheralArterial Disease. Deutsches Arzteblattinternational. [Internet]. 2020[citado 05/11/2021]; 117(11):188-193. Disponible en: https://doi.org/10.3238/arztebl.2020.0188

  60. Rammos C, Kontogiannis A,Mahabadi AA, Steinmetz M, MessihaD, Messiha Daniel, et al. Risk stratificationand mortality prediction inocto- and nonagenarians with peripheralartery disease: a retrospectiveanalysis. BMC cardiovasculardisorders. [Internet]. 2021[citado08/11/2021]; 21(1):370. Disponibleen: https://doi.org/10.1186/s12872-021-02177-1

  61. Mizzi A, Cassar K, Bowen C,Formosa C. The progression rate ofperipheral arterial disease in patientswith intermittent claudication: a systematicreview. Journal of foot andankle research. [Internet]. 2019 [citado07/11/2021]; 12(40). Disponibleen: https://doi.org/10.1186/s13047-019-0351-0

  62. Georg Kieback A, Espinola-Klein C, Lamina C, Moebus S, TillerD, Lorbeer R, et al. One simpleclaudication question as first stepin Peripheral Arterial Disease (PAD)screening: A meta-analysis of theassociation with reduced AnkleBrachial Index (ABI) in 27,945 subjects.PloS one [Internet] 2019 [citado04/11/2021]; 14(11): e0224608. Disponibleen: https://doi.org/10.1371/journal.pone.0224608

  63. Aragão JA, Andrade LG, NevesO, Aragão LC, Aragão FM PradoF, et al. Anxiety and depressionin patients with peripheral arterialdisease admitted to a tertiary hospital.Jornal vascular brasileiro. [Internet].2019 [citado 08/11/2021];18:e20190002. Disponible en: https://doi.org/10.1590/1677-5449.190002

  64. Striberger R, Axelsson M,Zarrouk M, Kumlien C. Illness perceptionsin patients with peripheral arterialdisease: A systematic review ofqualitative studies. International journalof nursing. [Internet]. 2020 [citado05/11/2021]; 116:103723. Disponibleen: https://doi.org/10.1016/j.ijnurstu.2020.103723

  65. Conte MS, Bradbury AW,Kolh P, White JV, Dick F, Fritidge R,et al. Global Vascular Guidelineson the Management of ChronicLimb-Threatening Ischemia. Europeanjournal of vascular and endovascularsurgery: the official journalof the European Society for VascularSurgery. [Internet]. 2019 [citado05/11/2021]; 58(1S):S1-09.e33. Disponibleen: https://doi.org/10.1016/j.ejvs.2019.05.006

  66. Okamoto S, Lida O, TakaharaM, Hata Y, Aasai M, MasudaM, et al. A Global Vascular Guidelines-Based Bypass-Preferred Populationand Their Surgical Risk AmongCLTI Patients Treated With EndovascularTherapy in a Real-WorldPractice. Journal of endovasculartherapy: an official journal of theInternational Society of EndovascularSpecialists [Internet]. 2020[citado 05/11/2021]; 27(4):608-613. Disponible en: https://doi.org/10.1177/1526602820924338

  67. Almasri J, Adusumalli J,Asi N, Lakis S, Alsawas M, ProkopLJ, et al. A systematic review andmeta-analysis of revascularizationoutcomes of infrainguinal chroniclimb-threatening ischemia. Journalof vascular surgery. [Internet].2018 [citado 04/11/2021]; 68(2):624-633. Disponible en: https://doi.org/10.1016/j.jvs.2018.01.066

  68. Lu Y, Ballew HS, TanakaH, Szklo M, Heiss G, Coresh J,et al. 2017 ACC/AHA blood pressureclassification and incidentperipheral artery disease: The AtherosclerosisRisk in Communities(ARIC) Study. European journal ofpreventive cardiology. [Internet].2020 [citado 06/11/2021]; 27(1):51-59. Disponible en: https://doi.org/10.1177/2047487319865378

  69. Cannavale A, Santoni M, GazzattiM, Catalano C, Fanelli F. UpdatedClinical and Radiological Classificationof Lower Limb AtheroscleroticDisease. Annals of vascular surgery.[Internet]. 2019 [citado 05/11/2021];55:272-284. Disponible en: https://doi.org/10.1016/j.avsg.2018.06.011

  70. Hiatt WR, Hess CN, BonacaMP, Kavanagh S, Patel MR,Baumgartner I et al. Ankle-BrachialIndex for Risk Stratification in PatientsWith Symptomatic PeripheralArtery Disease With and WithoutPrior Lower Extremity Revascularization:Observations From the EUCLIDTrial. Circ Cardiovasc Interv.[Internet]. 2021 [citado 06/11/2021];14(7):e009871. Disponible en:https://doi.org/doi:10.1161/CIRCINTERVENTIONS.120.009871

  71. Rochoy M, Doublali A, BerkhoutC. Utilisation de l’index de pressionsystolique dans le dépistage del’artériopathie du membre inférieur enmédecine générale. Annales de cardiologieet d’angeiologie. [Internet].2021 [citado 05/11/2021]; 70(2):75-80. Disponible en: https://doi.org/10.1016/j.ancard.2020.12.006

  72. Hopley CW, Kavanagh S,Patel MR, Ostrom C, Baumgartner I,Berger JS et al. Chronic kidney diseaseand risk for cardiovascular andlimb outcomes in patients with symptomaticperipheral artery disease:The EUCLID trial. Vascular medicine(London, England). [Internet]. 2019[citado 04/11/2021]; 24(5):422-430. Disponible en: https://doi.org/10.1177/1358863X19864172

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