Prevalence and Predictors of Atherosclerotic Peripheral Arterial Obstructive Disease in Severe Heart Valve Diseases

International Heart Journal
Hiroaki NakayaKen Kozuma

Abstract

Despite witnessing an upsurge in heart valve diseases (HVDs), the correlation between HVDs and atherosclerotic peripheral arterial obstructive disease (PAOD) remains unclear. This study aims to investigate the prevalence and predictors of PAOD in HVDs.In this study, a total of 245 consecutive patients were examined: 153 with severe aortic valve stenosis (AS), 66 with severe primary mitral valve regurgitation (MR), and 26 with severe pure native aortic valve regurgitation (AR). All patients underwent ultrasound scan of the carotid artery to ascertain the presence of internal carotid artery stenosis (ICAS). ICAS was defined as a peak systolic velocity ≥ 125 cm/second and/or ≥ 50% reduction in diameter. In addition, we measured the ankle-brachial index in each leg using a volume plethysmograph. A result of ≤ 0.9 was considered lower extremity artery disease (LEAD).The presence of ICAS was statistically more frequent in patients with severe AS than in patients with severe MR and AR (11.1% versus 1.5% versus 3.8%; P = 0.038). LEAD was present in patients with severe AS (17.6%) and MR (10.6%) but not in patients with severe AR (P = 0.037). The multivariate analysis revealed that the presence of severe AS (OR, 5.6 [1.3-24.9]; P = 0.02...Continue Reading

References

May 10, 2005·Arteriosclerosis, Thrombosis, and Vascular Biology·Anand V Doobay, Sonia S Anand
Jul 14, 2010·European Heart Journal·David H AdamsVolkmar Falk
Dec 28, 2010·Journal of the American College of Cardiology·Josep Rodés-CabauJohn G Webb
Mar 1, 2012·Circulation Journal : Official Journal of the Japanese Circulation Society·Eduardo Alegria-BarreroOlaf Franzen
Nov 20, 2012·Circulation·Victor AboyansUNKNOWN Council on Cardiovascular Radiology and Intervention, and Council on Cardiovascular Surgery and Anesthesia
Nov 28, 2012·Journal of Vascular Surgery·Caron B RockmanJeffrey S Berger
Aug 29, 2013·International Journal of Medical Sciences·Beata BobrowskaJacek S Dubiel
Jul 1, 2014·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Arie SteinvilAmir Halkin
Jul 24, 2014·JACC. Cardiovascular Imaging·Tasneem Z Naqvi, Ming-Sum Lee
Sep 7, 2014·Journal of the American Heart Association·Alexandra C MilinReza Ardehali
Dec 1, 2009·Journal of Medical Ultrasonics·UNKNOWN Terminology and Diagnostic Criteria Committee, Japan Society of Ultrasonics in Medicine
Oct 21, 2016·General Thoracic and Cardiovascular Surgery·UNKNOWN Committee for Scientific Affairs, The Japanese Association for Thoracic SurgeryHiroyasu Yokomise
Dec 6, 2016·Circulation Journal : Official Journal of the Japanese Circulation Society·Shinya TakimotoTakeshi Kimura
Mar 21, 2017·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·William A ZoghbiNeil J Weissman
Apr 8, 2017·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Helmut BaumgartnerCatherine M Otto

❮ Previous
Next ❯

Related Concepts

Related Feeds

Carotid Artery Diseases

Carotid artery disease is a group of pathological conditions of the carotid artery. Discover the latest research on carotid artery disease here.