ESTIMATION OF THE ANKLE-BRACHIAL INDEX  IN OLDER PATIENTS WITH DIABETES MELLITUS

Hoàng Thị Tuyết 1 , , Lê Thị Thanh 1 , Nguyễn Thị Hường 1
1 Thong Nhat Hospital
* Corresponding author:

Article Information

Metrics
Downloads: 0 Views: 0
DOI
10.63947/bvtn.v1i2.8
Published
2025-06-15
Issue Vol. 1 No. 2 (2025): Aging Population and Healthcare Challenges
Section
Original Paper
Categories
Research

Download Article

PDF (Vietnamese)

How to Cite

1.
Thị Tuyết H, Thị Thanh L, Thị Hường N. ESTIMATION OF THE ANKLE-BRACHIAL INDEX  IN OLDER PATIENTS WITH DIABETES MELLITUS. JHA [Internet]. Vietnam; 2025 Jun. 15 [cited 2025 Jun. 23];1(2):65–71. https://tcsuckhoelaohoa.vn/bvtn/article/view/39 doi: 10.63947/bvtn.v1i2.8
Loading citation...
Crossref
Scopus
Google Scholar
Europe PMC

Abstract

Diabetes mellitus remains a major risk for lower extremity artery disease. The ankle-brachial index (ABI) is a noninvasive technique for assessing the lower extremity artery disease. To estimate the ABI in older patients with diabetes mellitus. This case series study was conducted on the older patients with diabetes mellitus from 01/12/2021 to 31/05/2022 at Department of Cardiology in Thong Nhat Hospital. This study included 100 patients aged ≥ 60 years (mean age 72.5 ± 8,1years; male 54.0%). 71.0% of patients had diabetes mellitus with duration of diagnosis more than 5 years and 21,0% of patients has been being treated with insulin. The rates of comorbidities: hypertension (94,0%), dyslipidemia (62,0%), coronary artery disease (21,0%), history of ischemic stroke (3,0%), and heart failure (18,0%). There was 22 patients having claudication. The rates of ABI: ≤ 0.9: 27.0% and 1-1.4: 73.0%. No patient in our study had ABI higher than 1.4. In our study, 27.0% of diabetic patients had ABI of  ≤ 0.9 and 22.0% of patients had claudication.

Keywords

older patients diabetes mellitus ankle-brachial index

References

  1. Aboyans V, Ricco JB, Bartelink MEL, Bjorck M, Brodmann M, Cohnert T, et al. 2017 ESC Guidelines on the Diagnosis and Treatment of Peripheral Arterial Diseases, in collaboration with the European Society for Vascular Surgery (ESVS): Document covering atherosclerotic disease of extracranial carotid and vertebral, mesenteric, renal, upper and lower extremity arteriesEndorsed by: the European Stroke Organization (ESO)The Task Force for the Diagnosis and Treatment of Peripheral Arterial Diseases of the European Society of Cardiology (ESC) and of the European Society for Vascular Surgery (ESVS). Eur Heart J. 2018;39(9):763-816.
  2. Fowkes FG, Rudan D, Rudan I, Aboyans V, Denenberg JO, McDermott MM, et al. Comparison of global estimates of prevalence and risk factors for peripheral artery disease in 2000 and 2010: a systematic review and analysis. Lancet. 2013;382(9901):1329-40.
  3. Abdulhannan P, Russell DA, Homer-Vanniasinkam S. Peripheral arterial disease: a literature review. Br Med Bull. 2012;104:21-39.
  4. Song P, Rudan D, Zhu Y, Fowkes FJI, Rahimi K, Fowkes FGR, et al. Global, regional, and national prevalence and risk factors for peripheral artery disease in 2015: an updated systematic review and analysis. Lancet Glob Health. 2019;7(8):e1020-e30.
  5. Ankle Brachial Index C, Fowkes FG, Murray GD, Butcher I, Heald CL, Lee RJ, et al. Ankle brachial index combined with Framingham Risk Score to predict cardiovascular events and mortality: a meta-analysis. JAMA. 2008;300(2):197-208.
  6. Criqui MH, McClelland RL, McDermott MM, Allison MA, Blumenthal RS, Aboyans V, et al. The ankle-brachial index and incident cardiovascular events in the MESA (Multi-Ethnic Study of Atherosclerosis). J Am Coll Cardiol. 2010;56(18):1506-12.
  7. Huan Thanh Nguyen, Khang PTH, An HN, Thu TN, Hang ML. Non-achievement of the Low-Density Lipoprotein Cholesterol Goal in Older Patients with Type 2 Diabetes Mellitus and a Very High Cardiovascular Disease Risk: A Multicenter Study in Vietnam. Annals of Geriatric Medicine and Research. 2021;25(4):278-285.
  8. Lia Alves-Cabratosa, Marc Comas-Cufí, Anna Ponjoan, et al. Levels of ankle-brachial index and the risk of diabetes mellitus complications. BMJ Open Diabetes Res Care . 2020 Mar;8(1):e000977.
  9. I Vicente 1, C Lahoz, M Taboada, et al. Ankle-brachial index in patients with diabetes mellitus: prevalence and risk factors. Rev Clin Esp . 2006 May;206(5):225-9.

License

© 2025 Journal of Health and Aging - Thong Nhat Hospital

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.