지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 63 - 73 (11page)
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초록· 키워드
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Background: The clinical utility of ankle-brachial index (ABI) is not clear in subjects with less severe or calcified vessel. Therefore, we investigated the usefulness of color Doppler ultrasonography for diagnosing peripheral artery disease (PAD) in type 2 diabetes mellitus (T2DM) subjects. Methods: We analyzed 324 T2DM patients who concurrently underwent ABI and carotid intima-media thickness (CIMT) measurements and color Doppler ultrasonography from 2003 to 2006. The degree of stenosis in patients with PAD was determined according to Jager’s criteria, and PAD was defined as grade III (50% to 99% stenosis) or IV stenosis (100% stenosis) by color Doppler ultrasonography. Logistic regression analysis and receiver operating characteristic curve analysis were performed to evaluate the risk factors for PAD in patients with ABI 0.91 to 1.40. Results: Among the 324 patients, 77 (23.8%) had ABI 0.91 to 1.40 but were diagnosed with PAD. Color Doppler ultrasonography demonstrated that suprapopliteal arterial stenosis, bilateral lesions, and multivessel involvement were less common in PAD patients with ABI 0.91 to 1.40 than in those with ABI ≤0.90. A multivariate logistic regression analysis demonstrated that older age, current smoking status, presence of leg symptoms, and high CIMT were significantly associated with the presence of PAD in patients with ABI 0.91 to 1.40 after adjusting for conventional risk factors. CIMT showed significant power in predicting the presence of PAD in patients with ABI 0.91 to 1.40. Conclusion: Color Doppler ultrasonography is a useful tool for the detection of PAD in T2DM patients with ABI 0.91 to 1.40 but a high CIMT.
목차
등록된 정보가 없습니다.
참고문헌 (38)
참고문헌 신청
Selvin E / 2004 / Prevalence of and risk factors for peripheral arterial disease in the United States: results from the National Health and Nutrition Examination Survey, 1999-2000 / Circulation 110:738~743
Eraso LH / 2014 / Peripheral arterial disease, prevalence and cumulative risk factor profile analysis / Eur J Prev Cardiol 21:704~711
Criqui MH / 2015 / Epidemiology of peripheral artery disease / Circ Res 116:1509~1526
Sigvant B / 2017 / Cardiovascular outcomes in patients with peripheral arterial disease as an initial or subsequent manifestation of atherosclerotic disease: results from a Swedish nationwide study / J Vasc Surg 66:507~514
Olin JW / 2010 / Peripheral artery disease: current insight into the disease and its diagnosis and management / Mayo Clin Proc 85:678~692
Eraso LH / 2014 / Peripheral arterial disease, prevalence and cumulative risk factor profile analysis / Eur J Prev Cardiol 21:704~711
Criqui MH / 2015 / Epidemiology of peripheral artery disease / Circ Res 116:1509~1526
Sigvant B / 2017 / Cardiovascular outcomes in patients with peripheral arterial disease as an initial or subsequent manifestation of atherosclerotic disease: results from a Swedish nationwide study / J Vasc Surg 66:507~514
Olin JW / 2010 / Peripheral artery disease: current insight into the disease and its diagnosis and management / Mayo Clin Proc 85:678~692
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