2010, Number 6
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Med Int Mex 2010; 26 (6)
Peripheral arterial disease in diabetic patients compared with diabetic and hypertensive patients
Medina GE, Rubio GAF, Vargas AG, Rivera HX
Language: Spanish
References: 21
Page: 568-572
PDF size: 388.38 Kb.
ABSTRACT
Objective: To compare peripheral arterial disease (PAD) in type 2 diabetic patients who also suffer from hypertension.
Material and Methods: We compared the ankle-brachial index (ABI) of diabetic patients with diabetic and hypertensive patients. We excluded patients in whom technical issues can’t adequately take the ABI or who have high risk for PAD (eg heavy smoking). ABI was measured and laboratory studies at the time of recruitment.
Results: 50 patients, 25 in each group. The mean age was 53.68 years in the diabetes mellitus tipo 2 group and 45.04 years for DM2/ Hypertension, except in the genus groups were homogeneous. The biochemical variables were similar. We obtained an ABI of 1.02 in the DM2 group and 1.07 in that of DM2/Hypertension with p = 0.25. Whereas an ABI = ‹0.9 and PAD was obtained 2.82 with a 95% 0.44- 12.44, p = 0.16; By comparing =› 1.3, There were 4 patients (15.38%) in the DM2/HAS group and none in group DM2 [OR 10.6, with 95% CI 0.54 - 207.7, P = 0.11]
Discussion: hypertension increases the risk of PAD in patients with DM2. Since the ABI =› 1.3 is observed in 16% of patients with hypertension and in 0% without further studies should be made only for this purpose.
Conclusions: The hypertension doesn’t significantly increase the risk of PAD in patients with DM2.
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