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8.Ankle-brachial index as a predictor of one-year prognosis in ischemic stroke patients

Hyun Goo Kang ; In Sung Choo ; Bum Joon Kim ; Seong Hwan Ahn

Neurology Asia 2016;21(3):217-224

Objective: Peripheral arterial disease (PAD) reduces functional activity and increases the rate of cardiovascular death in the elderly. Our study aimed to determine whether the presence of PAD in stroke patients affected the progression of disability or death one year after discharge. Methods: From April 2012 to March 2013, consecutive first stroke patients above 50 years of age without known PAD were enrolled. PAD was defined as a low ankle-brachial index (less than 0.9) measured by an automatic device. Clinical data associated with the stroke were collected from medical records. Disability in stroke patients was evaluated with the modified Rankin scale (mRS) on discharge day and one year after the index stroke. Progression of disability was defined as an increase in mRS more than one level at one year. Results: Among the 526 patients, 238 had ischemic strokes and underwent ankle-brachial index (ABI) measurement. Of them, 192 patients were included. In univariate analysis, age, dyslipidemia, discharge mRS, low-density lipoprotein cholesterol, D-dimer, homocysteine, internal carotid artery stenosis, posterior cerebral artery stenosis, and PAD were factors associated with worsening mRS. After adjustment for these factors in the logistic regression analysis, PAD was an independent factor associated with worsening mRS. In the analysis of one-year mortality, patients with PAD had a higher death rate, but PAD was not an independent factor after adjusting for other variables. Conclusions: The presence of PAD in stroke patients suggests a chance of disability progression, but may not be a predictor of death after one year.
Atherosclerosis ; Peripheral arterial disease ; Stroke

9.Pressures, indexes and peripheral arterial disease: Time to rethink our approach?

Daniel WESTBY ; Nathalie N DOOLAN ; Stewart R WALSH

Annals of the Academy of Medicine, Singapore 2022;51(3):134-135

10.Anesthetic complications due to extremely low ankle blood pressure caused by peripheral arterial disease.

Jae Chan CHOI ; Sang Hun LEE ; Soon Yul KIM ; Jong Hyuk LEE ; Kyu Yong JANG

Korean Journal of Anesthesiology 2013;64(2):191-193

1.Peripheral arterial disease.

2.Diagnosis and Treatment of Peripheral Arterial Disease.

3.Thallium-201 perfusion scan in peripheral arterial disease.

4.Phamacologic Treatment for Peripheral Arterial Disease: Antithrombotic Drugs.

5.Pharmacologic Treatment for Peripheral Arterial Disease Patient: General Introduction.

6.A clinical study of peripheral arterial disease.

7.Elucidation of the Diagnosis and Treatment of Peripheral Arterial Disease

8.Ankle-brachial index as a predictor of one-year prognosis in ischemic stroke patients

9.Pressures, indexes and peripheral arterial disease: Time to rethink our approach?

10.Anesthetic complications due to extremely low ankle blood pressure caused by peripheral arterial disease.

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