Editor-in-Chief Ufuk Demirkılıç Frequency Quarterly Abbreviation Turk J Vasc Surg Publisher Turkish National Vascular and Endovascular Surgery Society ISSN 2667-4947 E-ISSN 2667-5080



Turkish Journal of Vascular Surgery 2007 , Vol 16 , Issue 1
ASSOCIATION BETWEEN THE ANKLE-BRACHIAL INDEX AND METABOLIC SYNDROME
Ayşe BAYSAL2, Ünsal VURAL1, Ahmet Yavuz BALCI1, Abdullah Kemal TUYGUN1, İlyas KAYACIOĞLU1, İbrahim YEKELER1
1Siyami Ersek Göğüs, Kalp ve Damar Cerrahisi Kliniği, İstanbul
2Siyami Ersek Anesteziyoloji ve Reanimasyon Bölümü, İstanbul
Background: The goal of this study is to investigate the significance of ankle-brachial index prevalence in patients with or without metabolic syndrome and to correlate the progression rate of the peripheral vascular disease to the metabolic syndrome by using ankle-brachial index as a marker.

Methods: In 242 patients who have been admitted to the vascular surgery clinic in hospital. The patients were divided into two groups as (group-I, MS(+)) and (group-II, MS(-)) depending on the presence of metabolic syndrome criteria. Patients were diagnosed with MS if they had 3 of the following 5 abnormalities: (1) abnormal girth in men > 102 cm, in women > 88cm; (2) triglycerides ≥ 150 mg/dl; (3) high-density lipoprotein (HDL) cholesterol in men < 40 mg/dl or in women < 50 mg/dl; (4) fasting blood glucose ≥ 110 mg/dl; (5) systolic blood pressure ≥ 130 mmHg, diastolic blood pressure ≥ 85 mmHg, or treated hypertension. The compared data includes; body mass index, arterial blood pressure, plasma fasting glucose and lipid profile, walking distance without pain and ankle-brachial index.

Result: ABI is decreased as a ratio of 0.1 in MS (+) patients in six months follow-up, whereas, 0.05 in MS (-) patients (p < 0.05). The walking distance is decreased in correlation to the ABI in this time period. In Group-I, MS(+), in postoperative period, 4 patients (% 1,6) had amputation, 8 (%3.3) had wound infection. In Group-II, MS(-) the findings were, 1 (% 0.4) and 3 (% 1.2) in respectively. In patients who underwent surgery, complications were higher in MS (+) patients than MS (-) patients (p < 0.05).

Conclusion: Ankle Brachial Index is a simple, noninvasive but important criteria in the progression of peripheral arterial disease in patients with metabolic syndrome. (Turkish J Vasc Surg 2007;16(1):13-18) Keywords : Peripheral arterial disease, ankle-brachial index, metabolic syndrome, vascular surgery

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