Features of Peripheral Artery Atherosclerosis in Patients with Diabetes
DOI:
https://doi.org/10.67076/cmj.2026.v4n1.02Keywords:
Type 2 diabetes mellitus, ankle-brachial index, peripheral artery diseaseAbstract
The study involved 528 patients with type 2 diabetes mellitus and examined the relationship between ankle-brachial index and cardiovascular disease risk factors and other indicators. It was found that the average ankle-brachial index was >0.9 in different antidiabetic treatment groups. In those with inadequate glycemic control, signs of peripheral atherosclerosis were observed more frequently. Blood circulation in the lower extremities was mainly of the trunk type, in the sub compensation stage, the incidence of critical stenosis towards the distal region increased and decompensation occurred. Ankle-brachial index ≤0.9 and severity of stenosis in the lower extremities segments were observed more often in patients with hypertension. Increased microalbuminuria accelerated the process of atherosclerosis in peripheral arteries.
References
Harsha M. Sensitivity and specificity of pulse oximetry and ankle brachial index for screening asymptomatic peripheral vascular diseases in type 2 diabetes mellitus // J. Assoc. Physicians India, 2022, No. 70(4), p. 11-12.
Ming-Chi Y., Yu-Yao H., Sheng-Hwu H. et al. Ankle-brachial index is independently associated with cardiovascular outcomes and foot ulcers in Asian patients with type 2 diabetes mellitus //Front Endocrinol., 2021, No. 18(12), p. 752995; doi: 10.3389/fendo.2021.752995 DOI: https://doi.org/10.3389/fendo.2021.752995
Fengze N., Jiaan H., Hui C., Xinhua H. Predictive value of abnormal ankle-brachial index in patients with diabetes: A meta-analysis // Diabetes Res. Clin. Pract., 2021, No. 174, p. 108723; doi: 10.1016/j.diabres.2021.108723 DOI: https://doi.org/10.1016/j.diabres.2021.108723
Khadijeh M., Afshin M., Zahra Y. et al. Correlation between ankle-brachial index and microalbuminuria in type 2 diabetes mellitus //Iran J. Kidney Dis., 2013, No. 7(3), p. 204-9.
Hirokatsu N., Kiyohiko T., Midori D. et al. The association of cardio-ankle vascular index and ankle-brachial index with macroangiopathy in patients with type 2 diabetes mellitus //J. Atheroscler. Thromb., 2019, No. 26(7), p. 616-623; doi: 10.5551/jat.45674 DOI: https://doi.org/10.5551/jat.45674
Giovanni S., Rosaria C., Eugenio R. et al. The ankle-brachial index for assessing the prevalence of peripheral artery disease and cardiovascular risk in patients with type 2 diabetes mellitus // Nutr. Metab. Cardiovasc. Dis., 2023, No. 33(3), p. 560-567; doi: 10.1016/j.numecd.2022.11.019 DOI: https://doi.org/10.1016/j.numecd.2022.11.019
Lia A.C., Marc C.C., Anna P. et al. Levels of ankle-brachial index and the risk of diabetes mellitus complications // BMJ Open Diabetes Res. Care, 2020, No. 8(1), p. e000977; doi: 10.1136/bmjdrc-2019-000977 DOI: https://doi.org/10.1136/bmjdrc-2019-000977
Badaruddoza D., Manpreet K., Sonia C., Rohit K. Cardiovascular risk factors and distributions of the ankle-brachial index among type 2 diabetes mellitus patients // Int. J. Hypertens., 2012, p. 485812; doi: 10.1155/2012/485812 DOI: https://doi.org/10.1155/2012/485812
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
