FACTORS ASSOCIATED WITH ABNORMAL ANKLE-BRACHIAL INDEX IN PATIENTS WITH ISCHEMIC STROKE
https://doi.org/10.29001/2073-8552-2017-32-1-63-66
Abstract
Introduction. Earlier research revealed that the decrease in anklebrachial index (ABI) indicates the presence of atherosclerosis of the arteries of the lower extremities and the increased risk of cardiovascular events, including stroke risk. In Russia, prevalence of risk factors for multifocal atherosclerosis is increased, but the problem of the relationship between pathological ABI levels and cerebrovascular diseases has not yet attracted attention. Materials and Methods. The study included 345 patients after stroke. All patients underwent examination of the state of their peripheral arteries using the device VaSera VS1000 (Fukuda Denshi, Japan). In patients, the presence of cardiovascular disease and previous vascular events was evaluated. Results. The study found that patients with abnormal levels of ABI (1.3 <ABI <0.9) often have concomitant cardiovascular disease (angina, chronic heart failure, arrhythmias). The study showed that the speech disorders, central paresis of muscles of the face and the tongue, and paresis of the extremities are more common in patients with pathological ABI. We found that the stenosis of extracranial arteries, thickened intimamedia complex, stenosis of the arteries of the lower extremities are most common in patients with abnormal ABI (p=0.02). Conclusions. Data of our study suggest that ABI assessment is a reasonable approach for patients with ischemic stroke to identify individuals with peripheral atherosclerosis and to administer them with targeted preventive treatments.
About the Authors
J. A. Kolmykova
Research Institute for Complex Issues of Cardiovascular Diseases
Russian Federation
Russian Federation
A. V. Kovalenko
Research Institute for Complex Issues of Cardiovascular Diseases
Russian Federation
Russian Federation
A. N. Sumin
Research Institute for Complex Issues of Cardiovascular Diseases
Russian Federation
Russian Federation
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Review
For citations:
Kolmykova J.A., Kovalenko A.V., Sumin A.N. FACTORS ASSOCIATED WITH ABNORMAL ANKLE-BRACHIAL INDEX IN PATIENTS WITH ISCHEMIC STROKE. Siberian Journal of Clinical and Experimental Medicine. 2017;32(1):63-66. (In Russ.) https://doi.org/10.29001/2073-8552-2017-32-1-63-66
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