How Common Peripheral Arterial Disease is in Patients Undergoing Coronary Angiography?

Abstract

Background: Cardiovascular disease is the leading cause of death in the world. The detection and treatment of risk factors for CV events is critical to improving health and longevity1. The most common among cardiovascular diseases is atherosclerotic coronary artery disease.
Objective: To determine the frequency of previously undiagnosed peripheral arterial disease in patients undergoing coronary angiography.
Material and Methods: This Descriptive Cross-sectional study was conducted in Cardiology Department, Hayatabad Medical Complex Peshawar from 17th June, 2020 to 16th December, 2020. The patients of 40-80 years age of both genders were included through Non probability consecutive sampling. The data was collected through a proforma specially designed for this study and was analyzed through SPSS 22.
Results: A total of 171 patients were included in the study. Age wise distribution among 171 patients was analyzed as 30-40 Years 9(5.3%), 41-50 Years 51(29.8%), 51-60 Years 72(42.1%), 61-70 Years 32(18.7 %), 71-80 Years 7(4.1%). Mean age was 55.56(±9.23) years. Gender wise distribution among patients, Male were 108(63.2%) Female were 63(36.8%). Distribution of Diabetes Mellitus was 50(29.2%). Hypertension was documented in 100 (58.5%). Smoking Status 51(29.8%). Distribution of peripheral arterial disease among 171 patients was analyzed as 22(12.9%). Distribution of Types of ACS was non-ST elevation among patients was 32(18.7%), STEMI was 62(36.3%) and USA was 77 (45%).
Conclusion: The study demonstrated that the frequency of asymptomatic Peripheral arterial disease (PAD) in patients with CAD was 12.9% and was strongly associated with higher incidence of cardiovascular risk factors, and multivessel disease.
Keywords: Peripheral arterial disease, coronary artery disease.