FREQUENCY OF PERIPHERAL ARTERIAL DISEASE AMONG PATIENTS WITH TYPE-II DIABETES MELLITUS PRESENTING TO A TERTIARY CARE HOSPITAL
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Keywords
Ankle-Brachial Index (ABI), Cardiovascular Risk, Prevalence, Peripheral Artery Disease (PAD), Type-II Diabetes Mellitus
Abstract
Objective:
To determine the frequency of peripheral artery disease in patients with type-II diabetes
mellitus presenting to tertiary care hospitals.
Methodology:
This cross-sectional study conducted from the May to August 2024 at the Department
of Medical Unit-III, Peoples University of Medical & Health Sciences for Women (PUMHSW),
Nawabshah assessed the prevalence of peripheral artery disease (PAD) in 250 type-II diabetes
patients aged 25-60. Exclusion criteria included known PAD, amputations, hypertension, and certain
medications. After informed consent, we recorded demographics, height, weight, and blood pressure.
The Ankle-Brachial Index (ABI) was calculated, with an ABI ratio below 0.9 indicating PAD. Data
were analyzed using SPSS 26.0, with significance set at p ≤ 0.05.
Results :
The study included 250 participants, with an average age of 52.59 years (SD = 9.91). The
average duration of diabetes was 10.68 years (SD = 6.05), with 60.4% having the condition for 1 to
10 years. Dyslipidemia averaged 4.66 years (SD = 4.38). Peripheral artery disease (PAD) was present
in 95 cases (38.0%).
Conclusion:
Peripheral artery disease (PAD) is a common occurrence among type-II diabetes
patients in tertiary care, particularly those with an extended history of diabetes. It is essential to
conduct routine monitoring to guarantee the early detection and management of this prevalent
complication
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Dr. Aamir Hussain Solangi
Postgraduate Trainee, MBBS, People’s University of Medical & Health Sciences for Women, Nawabshah
Dr. Ali Kashif Malik
People's University of Medical and Health Sciences (PUMHSFW), Nawabshah
Dr. Khawar Hussain
People’s University of Medical & Health Sciences for Women (PUMHSFW), Nawabshah
Dr. Zeeshan Sadique
People’s University of Medical & Health Sciences for Women (PUMHSFW), Nawabshah
Dr. Sadam Hussain Rind
People’s University of Medical & Health Sciences for Women (PUMHSFW), Nawabshah
Sajid Atif Aleem
Jinnah Sindh Medical University