Thickened Common Femoral Artery Intima Media Thickness: a Surrogate Marker for Subclinical Peripheral Arterial Disease in Patients with Type 2 Diabetes Mellitus | ||
| The Egyptian Journal of Geriatrics and Gerontology | ||
| Article 3, Volume 4, Issue 1, March 2017, Pages 11-14 PDF (555.94 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejgg.2017.5347 | ||
| Authors | ||
| Amer MS1; Omar H2; Mabrouk R3; Abdel T4; Rasheedy D4 | ||
| 1Geriatrics & Gerontology department, Faculty of Medicine, Ain Shams University, Cairo, Egypt. , Ain Shams Ageing Research Center | ||
| 23Department of Radiodiagnosis, Faculty of Medicine, Ain Shams University, Cairo, Egypt | ||
| 34Department of Clinical Pathology, Faculty of Medicine, Ain Shams University, Cairo, Egypt | ||
| 4Geriatrics & Gerontology department, Faculty of Medicine, Ain Shams University, Cairo, Egypt. ,Ain Shams Ageing Research Center | ||
| Abstract | ||
| Background: Thickening of ar terial wal l is an early indicator of atherosclerosis which is mostly a poly vascular disease. Thickened carotid intima media thickness is now wel l accepted as a sur rogate marker for cardiovascular , cerebrovascular , and peripheral vascular a ffection. Some data exists regarding the relationship between intima media thickness of the common femoral artery as a predictor of di fferent vascular beds atherosclerosis. .Aim: To evaluate the abi l i ty of common femoral artery intima media thickness to pr edict subcl inical peripheral ar terial disease in elderly patients wi th type 2 diabetes mel l i tus. Methods: 60 elderly subjects wi th type 2 diabetes were examined for the presence of asymptomatic PAD. Al l were assessed by measuring Common Femoral Artery Intima Media Thickness CFA IMT, ankle brachial index (ABI) . Results: The patients with reduced ABI (N=9) had greater CFA-IMT than those without (N=51). The correlation between CFA-IMT and ABI was highly significant. CFA IMT≥ 8.5 mm had an area under the curve of 0.962 (95% CI; 0.917- 1.007, p = 0.000*) for predicting subclinical PAD in patients with type 2 diabetes. Conclusions: This data suggests that thickened CFA IMT is a signi ficant predictor of asymptomatic PAD in patien ts wi th type 2 diabetes | ||
| Keywords | ||
| Diabetes mel l i tus Thickened common femoral artery intima media thickness; PAD- elderly | ||
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