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, Page 11-14 PDF (555.94 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/ejgg.2017.5347 | ||||
View on SCiNiTO | ||||
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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