الفهرس | Only 14 pages are availabe for public view |
Abstract Background: Type 2 Diabetes mellitus is a chronic metabolic disorder in which prevalence has been increasing steadily all over the world.There is a strong association between peripheral artery disease (PAD) and Diabetes Mellitus (DM), where 13.6% of diabetics present with PAD compared to 4% in the general population. Peripheral artery disease is a major risk factor for lower-extremity amputation and patients with PAD and diabetes are at greater risk of amputations than PAD patients free from diabetes. Moreover, even for the asymptomatic patients, PAD is a marker for systemic vascular disease involving coronary, cerebral, and renal vessels, leading to an elevated risk of events, such as myocardial infarction, stroke, and death.The ankle brachial index (ABI) is used to diagnose PAD. It is a simple, easy, noninvasive and reliable assay. In patients with an abnormal ABI, long-term follow-up for earlier detection and prevention of complications is helpful. As diabetic patients have a high risk of developing PAD, early identification of this disease is potentially a clinical strategy for reducing morbidity and mortality in this population. Aim of the work: In view of the fact that there is a paucity of epidemiological data on the prevalence of PAD in the Egyptian patients with diabetes, we conducted a pilot study with the objective of identifying PAD in a sample of Egyptian diabetic patients with different duration of diabetes. Patients and methods: This study was conducted on 151 patients with type 2 diabetes mellitus. ABI was done for all of them alongside with basic laboratory analysis |