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Relationship between ankle brachial index and ejection fraction in elderly E gyptians with ischemic heart disease
Author(s) -
Amer Moatasem S,
Tawfik Heba M,
Abd Elmotteleb Ayman M,
Maamoun Manar MA
Publication year - 2015
Publication title -
geriatrics and gerontology international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.823
H-Index - 57
eISSN - 1447-0594
pISSN - 1444-1586
DOI - 10.1111/ggi.12232
Subject(s) - medicine , ejection fraction , cardiology , ankle , index (typography) , heart failure , surgery , world wide web , computer science
Aim There is a high prevalence of combined peripheral and coronary artery disease, with increasing morbidity and decline in cardiac function. The aim of the present study was to find an association between ankle brachial index, a non‐invasive measure of peripheral artery disease, and ejection fraction in elderly patients with severe coronary artery disease. Methods A case–control study recruiting 200 elderly male and female ischemic patients in A in S hams U niversity hospitals was carried out. All participants had significant coronary artery disease lesions in coronary angiography carried out before the study. Cases and controls were divided according to ankle brachial index, with further subdivision of each group according to age. Measurements include: ankle brachial index using B istos handheld vascular D oppler ( BT 200V,8 MHz ), electrocardiography and echocardiography showing left ventricular ejection fraction. Coronary artery disease severity was estimated using the number of diseased vessels. Results The mean age of our study group was 67 years. Although our participants had mild to moderate peripheral artery disease, ejection fraction statistically decreased with decreasing ankle brachial index, being the lowest in participants aged > 70 years (46.84 ± 9.82 years) and the highest in controls aged >70 years (53.02 ± 5.53 years; P = 0.009). Ejection fraction was positively correlated with ankle brachial index ( P = 0.011, 0.006) for cases and controls, respectively.Conclusion Ankle brachial index can correlate with ejection fraction in elderly ischemic E gyptians with more severe coronary artery disease. Geriatr Gerontol Int 2015; 15: 405–409.