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Cardiologia Croatica, Vol. 19 No. 1-2, 2024.

Meeting abstract

https://doi.org/10.15836/ccar2024.17

Ankle-brachial index: an independent indicator of increased risk for coronary heart disease

Melisa Mehmedović orcid id orcid.org/0000-0002-2283-8256 ; Clinic for the treatment, prevention and rehabilitation of diseases of the heart and blood vessels - Thalassotherapia Opatija, Opatija, Croatia
Mijana Barišić orcid id orcid.org/0000-0001-5774-7488 ; Clinic for the treatment, prevention and rehabilitation of diseases of the heart and blood vessels - Thalassotherapia Opatija, Opatija, Croatia
Gabrijela Pandur orcid id orcid.org/0000-0001-5683-8791 ; Clinic for the treatment, prevention and rehabilitation of diseases of the heart and blood vessels - Thalassotherapia Opatija, Opatija, Croatia
Kristina Marić orcid id orcid.org/0009-0002-1703-2386 ; Clinic for the treatment, prevention and rehabilitation of diseases of the heart and blood vessels - Thalassotherapia Opatija, Opatija, Croatia
Anamarija Maras orcid id orcid.org/0009-0004-7729-4833 ; Clinic for the treatment, prevention and rehabilitation of diseases of the heart and blood vessels - Thalassotherapia Opatija, Opatija, Croatia
Althea Sarah Valdino orcid id orcid.org/0009-0009-8394-6806 ; Clinic for the treatment, prevention and rehabilitation of diseases of the heart and blood vessels - Thalassotherapia Opatija, Opatija, Croatia

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Abstract

Keywords

ankle-brachial index; coronary heart disease; peripheral arterial disease; risk factors

Hrčak ID:

313424

URI

https://hrcak.srce.hr/313424

Publication date:

17.1.2024.

Visits: 330 *

Copyright statement: Croatian Cardiac Society

Copyright: 2023, Croatian Cardiac Society

Date received: 26 September 2023

Date accepted: 07 October 2023

Publication date: October 2023

Publication date: October 2023

Volume: 19

Issue: 1-2

Page: 17

Publisher ID: CC 2024 19_1-2_17

DOI: 10.15836/ccar2024.17

Article Information (continued)

Categories:

Subject: Extended Abstract

Categories:

Subject: Preventive cardiology and rehabilitation of cardiac patients

KEYWORDS: :

KEYWORDS:

Keyword: ankle-brachial index

Keyword: coronary heart disease

Keyword: peripheral arterial disease

Keyword: risk factors

Ankle-brachial index: an independent indicator of increased risk for coronary heart disease

[https://orcid.org/0000-0002-2283-8256] Melisa Mehmedović[*]

[https://orcid.org/0000-0001-5774-7488] Mijana Barišić

[https://orcid.org/0000-0001-5683-8791] Gabrijela Pandur

[https://orcid.org/0009-0002-1703-2386] Kristina Marić

[https://orcid.org/0009-0004-7729-4833] Anamarija Maras

[https://orcid.org/0009-0009-8394-6806] Althea Sarah Valdino

 

Clinic for the treatment, prevention and rehabilitation of diseases of the heart and blood vessels - Thalassotherapia Opatija, Opatija, Croatia

Author notes:

Correspondence to: [*] ADDRESS FOR CORRESPONDENCE: Melisa Mehmedović, Thalassotherapia Opatija, M. Tita 188/1, HR-51410 Opatija, Croatia. / Phone: +385-51-202-722 / E-mail: akutni@tto.hr

Coronary heart disease (CHD) is the most common and significant cardiovascular disease that represents a public health problem. Atherosclerosis is considered the leading cause. In addition to coronary heart disease and cerebrovascular disease, we also include peripheral arterial disease, the underlying cause of which is atherosclerosis of blood vessels. The presence of peripheral arterial disease affects the morbidity and mortality of patients with CHD, as shown by earlier studies. The ankle-brachial index (ABI) is a direct indicator of the risk of cardiovascular mortality, and the presence of peripheral arterial disease in correlation with the pathological finding of the ABI increases mortality by as much as six times. (1,2) The ABI is a simple, diagnostic, non-invasive method that shows high sensitivity and specificity in diagnosing peripheral arterial disease when the ABI is ≤0.9. It is also a strong indicator of atherosclerotic disease in other arterial areas. Previous studies have shown that the ABI is an indicator of increased risk for CHD and has predictive power in detecting CHD. (3,4)

LITERATURE

1 

Papa ED, Helber I, Ehrlichmann MR, Alves CM, Makdisse M, Matos LN, et al. Ankle-brachial index as a predictor of coronary disease events in elderly patients submitted to coronary angiography. Clinics (São Paulo). 2013 December;68(12):1481–7. https://doi.org/10.6061/clinics/2013(12)02 PubMed: http://www.ncbi.nlm.nih.gov/pubmed/24473504

2 

Ankle Brachial Index Collaboration; Fowkes FG, Murray GD, Butcher I, Heald CL, Lee RJ, Chambless LE, et al.. Ankle brachial index combined with Framingham Risk Score to predict cardiovascular events and mortality: a meta-analysis. JAMA. 2008 July 9;300(2):197–208. https://doi.org/10.1001/jama.300.2.197 PubMed: http://www.ncbi.nlm.nih.gov/pubmed/18612117

3 

Núñez D, Morillas P, Quiles J, Cordero A, Guindo J, Soria F, et al. PAMISCA study researchers. Usefulness of an abnormal ankle-brachial index for detecting multivessel coronary disease in patients with acute coronary syndrome. Rev Esp Cardiol. 2010 January;63(1):54–9. https://doi.org/10.1016/S1885-5857(10)70009-8 PubMed: http://www.ncbi.nlm.nih.gov/pubmed/20089226

4 

Banfić Lj. Periferna arterijska bolest - nedovoljno prepoznat čimbenik ukupnog kardiovaskularnog rizika. Medix. 2010;16(87-88):133-9. Available at:https://www.kardio.hr/wp-content/uploads/2010/08/133-139.pdf (September 20, 2023).

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