Ankle-brachial index and subclinical atherosclerosis in type 1 diabetes
| العنوان: | Ankle-brachial index and subclinical atherosclerosis in type 1 diabetes |
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| المؤلفون: | Alexandra Corrêa Gervazoni Balbuena de Lima, Mariana Fiuza Gonçalves, Ester Vasconcelos Rocha, Luciana Bartolmei Orru D’Ávila, André Neves Mascarenhas |
| المصدر: | Revista da Associação Médica Brasileira v.67 n.4 2021 Revista da Associação Médica Brasileira Associação Médica Brasileira (AMB) instacron:AMB Revista da Associação Médica Brasileira, Volume: 67, Issue: 4, Pages: 505-510, Published: 06 SEP 2021 Revista da Associação Médica Brasileira, Vol 67, Iss 4, Pp 505-510 (2021) |
| بيانات النشر: | FapUNIFESP (SciELO), 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Adult, Male, Medicine (General), medicine.medical_specialty, Cross-sectional study, Population, Young Adult, R5-920, Risk Factors, Diabetes mellitus, Internal medicine, medicine.artery, medicine, Humans, Ankle Brachial Index, Prospective Studies, cardiovascular diseases, Brachial artery, education, Prospective cohort study, Vascular calcification, education.field_of_study, Type 1 diabetes, business.industry, Diabetes mellitus, type 1, General Medicine, Atherosclerosis, medicine.disease, Cross-Sectional Studies, Diabetes Mellitus, Type 1, medicine.anatomical_structure, Blood pressure, Ankle-brachial index, cardiovascular system, Cardiology, Female, Ankle, business |
| الوصف: | SUMMARY OBJECTIVE: To assess the prevalence of altered ankle-brachial index (1.3) in patients with type 1 diabetes and to compare it with the presence of subclinical atherosclerosis by carotid ultrasound. METHODS: Prospective, cross-sectional study in which 45 adults with type 1 diabetes were evaluated (age 34±10 years, 46.7% men). The data collected included anamnesis, clinical evaluation, calculation of the ankle-brachial index (relationship between systolic blood pressure in the ankle and brachial artery), and performance of carotid ultrasound. RESULTS: Thirty-two patients had ankle-brachial index >1.3 (66.7%) and no patient had ankle-brachial index 35 years and ankle-brachial index >1.4 showed a good correlation with atherosclerosis (r=0.49, p=0.021; r=0.56, p=0.008, respectively). A model associating age >35 years and ankle-brachial index >1.4 showed an excellent relationship with atherosclerosis (r=0.59, p=0.004). CONCLUSIONS: Our study showed that vascular calcification (ankle-brachial index >1.4) was frequent in this population with type 1 diabetes and associated with subclinical atherosclerosis. A model combining ankle-brachial index >1.4 and age >35 years showed an excellent correlation with atherosclerosis and can assist in clinical suspicion and optimize the request for additional tests. |
| وصف الملف: | text/html |
| تدمد: | 1806-9282 0104-4230 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::8da4745110bac01afa0936e36236a0cfTest https://doi.org/10.1590/1806-9282.20200695Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....8da4745110bac01afa0936e36236a0cf |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 18069282 01044230 |
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