Ankle-Brachial Index as a Predictor of Peripheral Arterial Disease in Newly Diagnosed Hypertensive Patients: Peripheral Arterial Disease in Hypertensive Patients

Safdar Ali Pervez; Munir Ahmed Channa; Mahesh Kumar; Abdul Hayee Phulpoto; Abdul Qayoom Memon; Asif Aziz

doi:10.54393/pjhs.v5i11.2350

Authors

Safdar Ali Pervez Department of Medicine, Khairpur Medical College, Civil Hospital, Khairpur, Pakistan
Munir Ahmed Channa Department of Medicine, Muhammad Medical College and Hospital, Mirpurkhas, Pakistan
Mahesh Kumar Department of Medicine, Muhammad Medical College and Hospital, Mirpurkhas, Pakistan
Abdul Hayee Phulpoto Department of Medicine, Khairpur Medical College, Civil Hospital, Khairpur, Pakistan
Abdul Qayoom Memon Department of Medicine, Khairpur Medical College, Civil Hospital, Khairpur, Pakistan
Asif Aziz Department of Medicine, Gambat Medical College, Gambat, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v5i11.2350

Keywords:

Hypertension, Peripheral Arterial Disease, Ankle-Brachial Index, Blood Pressure, Cardiovascular Risk

Abstract

Hypertension was a major risk factor for cardiovascular disorder including Peripheral Arterial Disease (PAD). Objective: To evaluate the risk of Peripheral Arterial Disease (PAD) in newly diagnosed hypertensive patients using Ankle-Brachial Index (ABI) measurements and to determine its potential role as a predictor of cardiovascular risks in this population. Methods: The study was an observational, cross-sectional study. This study was conducted in Khairpur Medical College Civil Hospital Khairpur Mirs. The duration of this study was six months, from November 2023 to April 2024This study include n= 246 newly diagnosed hypertension. Three levels of ABI had been identified through determining the ABI in both legs: low ABI (<0.9), normal ABI (0.9-1.4), and high ABI (>1.4). Student’s t-test. Pearson correlation test have been utilized when assessing the significance of the association between ABI levels and blood pressure values. Results: ABI was normal in 60% of the 246 participants, low in 20% and high in 20% of them. In comparison to those who had normal and high ABI, participants who had low ABI showed considerably higher SBP in both lower limbs (p < 0.001). Furthermore, there was additionally a significant distinction (p < 0.001) in the SBP and DBP among people who had high ABI. Participants with average ABI had higher SBP in their right upper limb than those who suffered from elevated ABI (p < 0.001). Conclusion: This study showed that in individuals who have recently identified high blood pressure, there was a significant relationship among ABI levels and arterial pressure levels.

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