EFFECT OF DIAGNOSTIC-CRITERIA ON THE PREVALENCE OF PERIPHERAL ARTERIAL-DISEASE - THE SAN-LUIS VALLEY DIABETES STUDY

EFFECT OF DIAGNOSTIC-CRITERIA ON THE PREVALENCE OF PERIPHERAL ARTERIAL-DISEASE - THE SAN-LUIS VALLEY DIABETES STUDY
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DOI:
10.1161/01.cir.91.5.1472
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发表时间:
1995-03-01
期刊:
影响因子:
37.8
通讯作者:
HAMMAN, RF
HAMMAN, RF
中科院分区:
医学1区
文献类型:
--
作者:
HIATT, WR;HOAG, S;HAMMAN, RF

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踝/臂收缩压指数(ABI)是一种无创性的外周动脉疾病(PAD)指标,广泛应用于流行病学研究。然而,正常范围的ABI在健康人群和ABI标准的PAD在大型人口study.Methods和结果的诊断还没有严格评估圣路易斯谷糖尿病研究(SLVDS)的目的是评估非胰岛素依赖型糖尿病(NIDDM)的患病率和并发症在一个双种族人群。本研究作为SLVDS的一部分进行,以评估1280名非糖尿病对照组和430名NIDDM患者的血管疾病患病率。在403名心血管疾病风险较低的健康个体中制定了PAD的ABI标准。在这些低风险受试者中,女性的平均静息ABI值比男性低0.07。男女足背ABI均比胫后动脉低0.04,左腿ABI比右腿ABI低0.02(所有差异,P
Background The ankle/brachial systolic blood pressure index (ABI), a noninvasive measure of peripheral arterial disease (PAD), is widely used in epidemiological studies. However, the normal ranges of the ABI in healthy populations and ABI criteria for the diagnosis of PAD in large population studies have not been critically evaluated.Methods and Results The San Luis Valley Diabetes Study (SLVDS) was designed to evaluate the prevalence and complications of non-insulin-dependent diabetes mellitus (NIDDM) in a biethnic population. The present study was conducted as part of the SLVDS to assess the prevalence of vascular disease in 1280 nondiabetic control subjects and 430 patients with NIDDM. The ABI criteria for PAD were developed in 403 healthy individuals with a low risk for cardiovascular disease. In these low-risk subjects, the average resting ABI value was 0.07 lower in women than in men. In both sexes, the dorsalis pedis ABI was 0.04 lower than in the posterior tibial artery, and the left leg ABI was 0.02 lower than the right leg ABI (all differences, P