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- W2078667769 abstract "El índice tobillo-brazo (ITB) detecta enfermedad arterial periférica (EAP) y predice eventos cardiovasculares. Conocer la prevalencia del ITB patológico, analizar su asociación con el riesgo cardiovascular Framingham (RCV) y con los factores de riesgo cardiovasculares (FRCV). Estudio descriptivo transversal, 407 varones de 50–65 años, demandantes en atención primaria (AP), seleccionados por muestreo consecutivo (enero 2007–agosto 2008) en Tenerife. A todos se les midió el ITB, se recogió el diagnóstico de los FRCV clásicos, la presencia de claudicación y de pulsos ausentes, y se les cuantificó el RCV según la ecuación de Framingham. 407 varones, edad m: 56,8±4,7 (50–56 a: 50,1% y 57–65 a: 49,9%). El 32,7% tenía RCV≥21, 67,3% RCV<21, y el 25,1% tabaquismo. La prevalencia del ITB patológico global (ITB<0,9 y >1,3 ) fue 25%: EAP(ITB<0,9): 13,3%, y ITB>1,3, 12%. La EAP se asoció de forma significativa con: RCV≥21 (p=0,004), edad (p=0,008), claudicación (p=0,022), pulsos ausentes (p=0,007), y tabaco (p=0,013), casi significativa con diabetes (p=0,068). Tras análisis multivariante se asoció independientemente con EAP: edad y tabaco. En el subgrupo con RCV<21(67,3%), la prevalencia de EAP fue 9,9%. Alta prevalencia de EAP. En nuestro medio uno de cada cuatro varones entre 50 y 65 años presenta ITB patológico independientemente del RCV. El tabaco, por sí solo, duplica el riesgo de padecer EAP. Conviene utilizar el ITB para manejar actividades preventivas, y mejorar la detección precoz de arteriosclerosis. The ankle-brachial index (ABI) detects peripheral arterial disease (PAD) and predicts vascular events. To investigate the prevalence of pathological ABI, and the association of PAD with Framingham cardiovascular risk (CVR) and cardiovascular risk factors (CVRF). We performed a descriptive cross-sectional study of 407 men, aged 50–65 years old, in primary care selected by consecutive sampling (January 2007–August 2008) in Tenerife. In all patients, the ABI [pathological ABI: PAD (ABI<0.9) and ABI>1.3] was measured. Data on diagnosis of classical CVRF, claudication and absent pulses were collected, and CVR was quantified according to the Framingham equation. There were 407 men, with a mean age of 56.8±4.7 (50–56 years: 50.1%, 57–65 years: 49.9%). CVR≥21 was found in 32.7% and CVR<21 in 67.3%; 25.1% were smokers. The overall prevalence of pathological ABI (ABI<0.9 and >1.3) was 25%: PAD was found in 13.3%, and ABI>1.3 in 12%. PAD was significantly associated with CVR≥21 (p=0.004), age (p=0.008), claudication (p=0.022), absent pulses (p=0.007), and smoking (p=0.013) and had a nearly significant association with diabetes (p=0.068). In the multivariate analysis, age and smoking were strongly associated with PAD. In the subgroup with CVR<21 (67.3%), the prevalence of PAD was 9.9%. The prevalence of PAD was high. In our study, one in four men aged between 50 and 65 years had a pathological ABI regardless of CVR. Smoking by itself doubles the risk of PAD. The ABI could be useful in prevention and could improve early detection of arteriosclerosis." @default.
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- W2078667769 date "2010-09-01" @default.
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- W2078667769 title "Índice tobillo-brazo y riesgo cardiovascular en varones de atención primaria" @default.
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- W2078667769 doi "https://doi.org/10.1016/j.arteri.2010.02.002" @default.
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