Next Article in Journal
Microflora of the Oral Cavity in Patients with Xerostomia
Previous Article in Journal
Investigation of the Antimicrobial Activity of Rhaponticum (Rhaponticum Carthamoides D.C. Iljin) and Shrubby Cinquefoil (Potentilla Fruticosa L.)
Medicina is published by MDPI from Volume 54 Issue 1 (2018). Articles in this Issue were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence. Articles are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Lithuanian Medical Association, Lithuanian University of Health Sciences, and Vilnius University.
Open AccessArticle

Comparison of Ankle-Brachial Index in Patients With and Without Atrial Fibrillation

Department of Internal Diseases, Medical Academy, Lithuanian University of Health Sciences, Lithuania
*
Author to whom correspondence should be addressed.
Medicina 2011, 47(12), 93; https://doi.org/10.3390/medicina47120093
Received: 22 September 2011 / Accepted: 29 December 2011 / Published: 3 January 2012
The aim of this study was to compare the ankle-brachial index between patients with atrial fibrillation (AF) and those without atrial fibrillation.
Material and Methods. A total of 286 patients admitted to the Departments of Neurology or Cardiology, Kaunas Clinical Hospital, during 2008–2010 and referred for a consultation with an internist and/or a cardiologist were included in this study. All patients had at least one prevalent cardiovascular disorder and were screened for diagnosis of permanent AF based on medical records and electrocardiogram and evaluated for the ankle-brachial index (ABI). Peripheral artery disease (PAD) was defined as an ABI of <0.9 assessed by using a 5-MHz Doppler ultrasound device.
Results.
The patients with permanent AF had a significantly lower ABI compared with the patients without AF (P<0.001). Binary regression analysis revealed that permanent AF was associated with PAD (OR, 2.5; 95% 1.5–4.2). The likelihood of having an ABI of <0.9 increased with each additional risk factor: AF (OR, 2.2; 95% CI, 1.3–3.8), stroke (OR, 2.3; 95% CI, 1.3–4.2), age of >69 years (OR, 2.4; 95% CI, 1.3–4.7), and myocardial infarction (OR, 2.4; 95% CI, 1.1–5.5). Nearly one-fourth (24.5%) of all patients with an ABI of <0.9 did not report any PAD-specific symptoms.
Conclusions
. The patients with cardiovascular disorders and permanent atrial fibrillation were found to have a significantly lower mean ankle-brachial index and higher prevalence of peripheral artery disease compared with cardiovascular patients without atrial fibrillation. The patients who were found to have a lower ankle-brachial index and permanent atrial fibrillation were older and often had several cardiovascular diseases (angina pectoris, stroke, myocardial infarction, or hypertension).
Keywords: ankle-brachial index; atrial fibrillation; peripheral arterial disease; cardiovascular disease ankle-brachial index; atrial fibrillation; peripheral arterial disease; cardiovascular disease
MDPI and ACS Style

Mašanauskienė, E.; Naudžiūnas, A. Comparison of Ankle-Brachial Index in Patients With and Without Atrial Fibrillation. Medicina 2011, 47, 93.

Show more citation formats Show less citations formats
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Only visits after 24 November 2015 are recorded.
Back to TopTop