Vasculopathy in the diabetic foot
West Indian med. j
;
50(supl.1): 18-20, Mar. 1-4, 2001.
Article
in English
| LILACS
| ID: lil-473093
ABSTRACT
This paper attempts to distil some of the results of vasculopathy studies performed on Jamaican diabetic clinic attendees. Doppler measurements of ankle/brachial pressure index (A/BI) revealed that 23of the diabetics had peripheral occlusive arterial disease (POAD) which was mostly asymptomatic. Plethysmographic blood flow studies revealed a profound reduction in the vasodilatory response to increased flow demand. Prevalence of POAD determined by Doppler testing of A/BI reported by other researchers ranged from 13in a large community study, one-third of whom were diabetic, to 47in patients who had been diabetic for 20 years. Isolated posterior tibial disease has been reported to carry a three-fold risk of all cause mortality and a four-fold risk of coronary heart disease mortality. This underscores the need for regular Doppler A/BI testing in order to improve the recognition, and treatment of POAD, and prevent further cardiovascular morbidity and mortality.
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Index:
LILACS (Americas)
Main subject:
Diabetic Foot
Type of study:
Etiology study
/
Observational study
/
Prevalence study
/
Risk factors
Limits:
Female
/
Humans
/
Male
Country/Region as subject:
English Caribbean
/
Jamaica
Language:
English
Journal:
West Indian med. j
Journal subject:
Medicine
Year:
2001
Type:
Article
Affiliation country:
Jamaica
Institution/Affiliation country:
Nuttal Medical Centre/JM
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