Associations Between the Ankle- Brachial Index and Cardiovascular and All-CauseMortality Are Similar in IndividualsWithout andWith Type 2 Diabetes Nineteen-year follow-up of a population-based cohort study
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چکیده
OBJECTIVEdIn the general population, a low ankle-brachial index (ABI) (,0.9) is strongly associated with (cardiovascular) mortality. However, the association between the ABI and mortality may be weaker in individuals with diabetes, as ankle pressures may be elevated by medial arterial calcification and arterial stiffening, which occur more frequently in diabetes. Therefore, the aim of this study was to compare the association between ABI and mortality in individuals without and with diabetes.
منابع مشابه
Comment on: Hanssen et al. Associations Between the Ankle-Brachial Index and Cardiovascular and All-Cause Mortality Are Similar in Individuals Without and With Type 2 Diabetes: Nineteen-Year Follow-Up of a Population-Based Cohort Study. Diabetes Care 2012;35:1731–1735
In their article, Hanssen et al. (1) reported no associations between ankle-brachial index (ABI) and cardiovascular and all-cause mortality in individuals with and without diabetes in the Hoorn cohort. The results are considered important with regards to the long follow-up period in the study as well as some yet unidentified issues on the clinical role of ABI testing. However, I need to make se...
متن کاملResponse to Comment on: Hanssen et al. Associations Between the Ankle-Brachial Index and Cardiovascular and All-Cause Mortality Are Similar in Individuals Without and With Type 2 Diabetes: Nineteen-Year Follow-Up of a Population-Based Cohort Study. Diabetes Care 2012;35:1731–1735
1. The most recent American Heart Association guideline indeed states that the most precise estimate of the ABI is obtained by measuring pressures in both ankle arteries (3). However, even if we misclassified some individuals as having a low ABI, we still found strong associations between the ABI and mortality. The same is true if we misclassified any individuals with a high ABI (.1.4) as havin...
متن کاملAssociations Between the Ankle-Brachial Index and Cardiovascular and All-Cause Mortality Are Similar in Individuals Without and With Type 2 Diabetes
OBJECTIVE In the general population, a low ankle-brachial index (ABI) (<0.9) is strongly associated with (cardiovascular) mortality. However, the association between the ABI and mortality may be weaker in individuals with diabetes, as ankle pressures may be elevated by medial arterial calcification and arterial stiffening, which occur more frequently in diabetes. Therefore, the aim of this stud...
متن کاملThe Relationship between Abnormal Ankle-brachial Index and Micro-vascular Complications of Diabetes Type II
Background:The prevalence of diabetes mellitus is increasing worldwide and the relationship between peripheral vascular involvement and the complications of diabetes disease, such as retinopathy, has been reported in some studies but has not yet been fully proven. The aim of this study was to investigate the relationship between diabetes complications and peripheral and central vascular involve...
متن کاملContribution of the ankle-brachial index to improve the prediction of coronary risk: The ARTPER cohort
BACKGROUND The different cardiovascular risk prediction scales currently available are not sufficiently sensitive. AIM The aim of the present study was to analyze the contribution of the ankle-brachial index (ABI) added to the Framingham and REGICOR risk scales for the reclassification of cardiovascular risk after a 9-year follow up of a Mediterranean population with low cardiovascular risk. ...
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تاریخ انتشار 2012