Ankle brachial index most important to identify polyvascular disease in patients with non-ST elevation or ST-elevation myocardial infarction

European Journal of Internal Medicine
Birgitta JönelidChristina Christersson

Abstract

Atherosclerosis is a systemic disease. In patients with acute myocardial infarction (MI) the extent of polyvascular disease (PvD) is largely unknown. In this study we investigate the prevalence and clinical characteristics predictive of PvD in patients with non-ST-elevation (NSTEMI) and ST-elevation (STEMI) MI. 375 patients with acute MI included in the REBUS (Relevance of Biomarkers for Future Risk of Thromboembolic Events in Unselected Post-myocardial Infarction Patients) study were examined. Atherosclerotic changes were assessed in three arterial beds by coronary angiography, carotid ultrasound and ankle brachial index (ABI). Results compared findings of atherosclerosis in three arterial beds to fewer than 3 beds. PvD was defined as atherosclerosis in all three arterial beds. A medical history of MI, peripheral artery disease (PAD) or stroke was reported at admission in 17.9%, 2.1% and 3.7% of the patients, respectively. After evaluation, abnormal ABI was found in 20.3% and carotid artery atherosclerosis in 54.9% of the patients. In the total population, PvD was found in 13.8% of patients with no significant differences observed between NSTEMI and STEMI patients. Age (p<0.001), diabetes (p=0.039), previous PAD (p=0.009) and ...Continue Reading

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Citations

Jan 13, 2018·Journal of Cellular Physiology·Peramaiyan RajendranChih-Yang Huang
Nov 23, 2018·The Journal of Cardiovascular Surgery·Louis Le BivicVictor Aboyans
Jun 21, 2019·Journal of Clinical Medicine·Lia Alves-CabratosaRafel Ramos
Apr 15, 2021·Kardiologiia·V G GrachevO G Smolenskaya
Aug 5, 2021·Scandinavian Journal of Clinical and Laboratory Investigation·Birgitta JönelidAgneta Siegbahn

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