Swiss Atherothrombosis Survey: a field report on the occurrence of symptomatic and asymptomatic peripheral arterial disease
Details
Serval ID
serval:BIB_AE6D509C2A12
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Swiss Atherothrombosis Survey: a field report on the occurrence of symptomatic and asymptomatic peripheral arterial disease
Journal
Journal of Internal Medicine
ISSN
0954-6820 (Print)
Publication state
Published
Issued date
09/2005
Volume
258
Number
3
Pages
238-43
Notes
Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't --- Old month value: Sep
Multicenter Study
Research Support, Non-U.S. Gov't --- Old month value: Sep
Abstract
OBJECTIVES: To investigate the Ankle/Brachial Pressure Index (ABI) for its suitability in daily practice to identify patients at atherothrombotic risk. To collect data on the prevalence of atherothrombotic events [coronary artery disease (CAD), stroke/transient ischaemic attack (TIA)], of 'hidden' (asymptomatic) versus 'known' (symptomatic) peripheral arterial disease (PAD) and treatment in the general practice population. DESIGN: Field survey from everyday Swiss practice. On five consecutive workdays, 276 doctors documented all patients, recording gender, age, history of atherothrombotic events, risk factors and family history. In the case of a previous stroke/TIA and/or CAD, or two or more risk factors were present at age >55, the ABI was determined. A total of 25,351 patients were included and 3921 ABI measurements were performed in eligible patients. SETTING: Practices of primary care doctors. PARTICIPANTS: All patients who visited one of the 276 participating doctors on one of five consecutive workdays were included in the survey. INTERVENTION: Data recording and measurement of the ABI on those patients who qualified. RESULTS: Of the patients 3.7% had symptomatic PAD. An additional 2.7% of hitherto asymptomatic patients were identified as being at high atherothrombotic risk by having an ABI value <0.9. Exactly 93.9% of the participating doctors considered the ABI measurement easy to incorporate into the diagnostic routine of patients presenting with risk factors. CONCLUSIONS: The ABI measurement is an easy-to-use, noninvasive and reliable means to identify patients at risk of atherothrombotic events. Identification of asymptomatic PAD leads to intensified targeted prophylactic atherothrombotic treatment that can reduce morbidity and mortality.
Keywords
Aged
Ankle/blood supply
Arteries
Blood Pressure Determination
Brachial Artery/physiopathology
Cerebrovascular Accident/diagnosis/epidemiology
Coronary Disease/diagnosis/epidemiology
Family Practice
Female
Health Surveys
Humans
Ischemic Attack, Transient/diagnosis/epidemiology
Male
Middle Aged
Peripheral Vascular Diseases/diagnosis/*epidemiology
Prevalence
Risk Factors
Sensitivity and Specificity
Switzerland/epidemiology
Systole
Pubmed
Web of science
Open Access
Yes
Create date
17/01/2008 16:38
Last modification date
20/08/2019 15:18