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KMID : 0978920070080020242
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Korean Journal of Clinical Geriatrics
2007 Volume.8 No. 2 p.242 ~ p.248
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Measurement of Ankle Brachial Index in Patients with Coronory Artery Disease
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Kim Chul
Park Yong-Bum
Yoon Jo-Eun
Rue Hyun-Woo
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Abstract
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Background: To determine the concomitant presence of PAD in patients with CAD, usingthe ankle brachial index (ABI). a new noninvasive method to find PAD.
Methods: ABI was measured in 20 patients with CAD and 60 controls without medical history of any
atherosclerotic disease such as CAD, PAD, and cerebrovascular accident (CVA). 60 controls included 20 diabetes group, 20 smoking group, and 20 normal control group. We compared the value of ABI among those groups.
Results: There was no significant difference in the value of ABI among CAD group and three control groups, but ABI in subgroup of myocardial infarction (MI) was significantly lower than three control groups (P＜0.05). And the value of ABI was significantly correlated with the degree of coronary stenosis in CAD (P＜0.05).
Conclusion: A strong relationship between the degreeof stenosis in CAD and PAD was demonstrated quantitatively by ABI measurement. A decrease in ABI in CAD may be a risk factor for PAD.
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KEYWORD
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Ankle brachial index, Coronary artery disease, Peripheral artery disease
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