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January 1, 2003Journal of Atherosclerosis and ThrombosisOpen Access

Pulse Wave Velocity in Lower-Limb Arteries among Diabetic Patients with Peripheral Arterial Disease.

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Key result

In diabetic patients with peripheral arterial disease, brachial-ankle pulse wave velocity was significantly lower in the affected legs (median 1221 cm/sec) than in non-affected legs (median 1607 cm/sec).

Why the study?

Does brachial-ankle pulse wave velocity (baPWV) differ in lower-limb arteries among diabetic patients with peripheral arterial disease compared to healthy controls and non-affected legs?

Population

203 subjects, comprising 101 healthy control subjects and 102 type 2 diabetic patients.

Comparison

Measurement of brachial-ankle pulse wave… vs Healthy control subjects, and intra-patient…

Design

Cross-sectional

Authors

HYHisayo YokoyamaOsaka University of Health and Sport SciencesTSTetsuo ShojiVascular MedicineEKEiji KimotoKinan Hospital

Discussion

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Implication

Lower baPWV in affected legs may aid PAD detection in diabetes; leaves open its value as a diagnostic marker pending prospective studies.

Study Design

Type

Cross-Sectional (n=203)

Multicenter

No

Structured PICO

Does brachial-ankle pulse wave velocity (baPWV) differ in lower-limb arteries among diabetic patients with peripheral arterial disease compared to healthy controls and non-affected legs?

P
Population
203 subjects, including 101 healthy controls and 102 patients with type 2 diabetes (9 with peripheral arterial disease), evaluated for brachial-ankle pulse wave velocity.
E
Exposure
Measurement of brachial-ankle pulse wave velocity (baPWV); a subset of PAD patients received percutaneous transluminal angioplasty.
C
Comparator
Healthy control subjects, and intra-patient comparison between affected and non-affected legs.
O
Outcome
Brachial-ankle pulse wave velocity (baPWV)surrogate

Main Result

Absolute Event Rate: 1221% vs 1607%

p-value: p=0.021

Widening of the right-left difference in brachial-ankle pulse wave velocity may serve as a novel marker for peripheral arterial disease in diabetic patients.

Limitations

  • Small sample size of diabetic patients with PAD (n=9).
  • Patients with bilateral PAD or extremely high baPWV may show falsely low or high right-left differences, requiring careful interpretation.

Cite This Study

Yokoyama et al. (2003) conducted a cross-sectional in Type 2 Diabetes Mellitus with and without Peripheral Arterial Disease (n=203). Peripheral Arterial Disease (PAD) vs. Non-affected legs / Diabetic patients without PAD was evaluated on Brachial-ankle pulse wave velocity (baPWV) in affected vs non-affected legs of diabetic patients with PAD (p=0.021). In diabetic patients with peripheral arterial disease, brachial-ankle pulse wave velocity was significantly lower in the affected legs (median 1221 cm/sec) than in non-affected legs (median 1607 cm/sec).

synapsesocial.com/papers/6a2102f3d560414ba616d3behttps://doi.org/10.5551/jat.10.253
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Also Consider

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  1. 1Systolic Hypertension in Patients with Arteriosclerosis Obliterans of the Lower Limbs1987 · 26 citations
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