| AIM:By sharing a similar network of systemic vasculature, the detection of peripheral arterial disease (PAD) indicates the presence of high risk of coronary heart diseases. Peripheral arterial disease (PAD), diagnosed with low value of Ankle-Brachial Index (ABI) such as≤0.90, has a strong correlation with the complexity of coronary heart diseases.METHODS:This prospective descriptive study had recruited 62 patients as per the inclusion and exclusion criteria. All the patients had undergone an assessment of the Ankle-Brachial Index (ABI) and coronary artery angiography (CAG) with acquisition of baseline data at the time of their hospital stay. SYNTAX score was used to quantify the coronary artery disease severity.RESULTS:The patients with typical signs and symptoms of coronary artery disease especially ischemic pattern of cardiovascular diseases had lower values of Ankle-Brachial Index (ABI) and high values of SYNTAX score calculated from results of coronary artery angiography (CAG) reports, which is a gold standard for diagnosis of ischemic heart diseases (IHD). Meanwhile, patients with high ABI value and low SYNTAX score had less severe coronary artery disease, which demonstrates a strong correlation between ABI and SYNTAX score’s assessment of coronary artery disease severity. The correlation coefficient of Spearman’s rho for ABI and SYNTAX score is 0.886, which was highly significant (p<0.0001).CONCLUSION:The lower value of ABI especially≤0.90 is associated with high risk of coronary artery diseases confirmed by gold standard CAG, so early diagnosis and optimal therapeutic approach leads to decreased morbidity and mortality in cardiac patients. In a nutshell, the patients having significantly lower ABI value assessed by ankle-brachial index (ABI) which is cost-effective and non-invasive diagnostic modality, and it indicates high risk coronary artery diseases. These patients can be further referred to more definitive diagnostic and therapeutic approach such as CAG and PCI. |
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