Vasculopathy in the Diabetic Foot
West Indian med. j
; 50(suppl. 1): 18-20, Mar. 1-4, 2001. tab
Artigo
em Inglês
| MedCarib
| ID: med-442
Biblioteca responsável:
JM3.1
Localização: JM3.1; R18.W4
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 23 percent of the diabetics have peripheral occlusive arterial disease (POAD) which was mostly asymptomatic. Plethysmorgraphic 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 13 percent in a large community study, one-third of whom were diabetic, to 47 percent in patiens 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.(Au)
Buscar no Google
Coleções:
Bases de dados internacionais
Contexto em Saúde:
ODS3 - Meta 3.4 Reduzir as mortes prematuras devido doenças não transmissíveis
Problema de saúde:
Doença Cardiovascular
/
Diabetes Mellitus
/
Doenças do Sistema Endócrino
/
Doenças da Pele
Base de dados:
MedCarib
Assunto principal:
Vasodilatação
/
Velocidade do Fluxo Sanguíneo
/
Pé Diabético
/
Tornozelo
Tipo de estudo:
Fatores de risco
Limite:
Humanos
País/Região como assunto:
Caribe Inglês
/
Jamaica
Idioma:
Inglês
Revista:
West Indian med. j
Ano de publicação:
2001
Tipo de documento:
Artigo