2018, Number 2
Asymptomatic peripheral arterial disease with risks factors of metabolic syndrome
García GY, Díaz BA, Arpajón PY, Estévez PA, Aldama FA, Conesa GAI, del Busto MA
Language: Spanish
References: 0
Page: 91-103
PDF size: 167.19 Kb.
ABSTRACT
Introduction: Peripheral arterial disease represents a real health problem; however, it is under diagnosed and therefore treated belatedly. The main risk factors associated with it are age, smoking habit and diabetes mellitus. Others such as dyslipidaemia, pre-diabetes, obesity and arterial hypertension which form the metabolic syndrome are also related, albeit with heterogeneous results. The association of these risk factors is common and may confer greater risk of developing peripheral arterial disease.Objective: To determine the relation among the risk factors that make up the metabolic syndrome with the asymptomatic peripheral arterial disease.
Methods: Cross-sectional, descriptive study in patients from 40 to 70 years old with at least one risk factor of those that make up the metabolic syndrome. The index of ankle-arm pressures to identify the asymptomatic peripheral arterial disease was calculated to those patients.
Results: The mean age was 55,9 ± 9,5 years. Most of the patients had normal ankle-arm pressures. Nine patients (4,5%) were identified with asymptomatic peripheral arterial disease. They had greater insulin resistance, higher concentrations of glycemia, cholesterol, and triglycerides. Arterial hypertension, dyslipidemia, pre-diabetes, obesity, and insulin resistance were related to the onset of low indexes.
Conclusions: All the risk factors that make up the metabolic syndrome, as well as the combination of three or more of these factors are related to the asymptomatic peripheral arterial disease.