Early Detection of Peripheral Arterial Disease (PAD) by Ankle Brachial Index (ABI) Examination in Type 2 Diabetes Mellitus Patients
Keywords:
ankle brachial index, diabetes mellitus, early detection, peripheral arterial diseaseAbstract
Diabetes mellitus is one of the most common health problems in Indonesia. This disease has various complications, including the occurrence of pheriperal arterial disesase (PAD). One method to detect PAD is to examine the ankle brachial index (ABI). This study aims to conduct early detection of PAD incidence in diabetes mellitus patients. This research is a descriptive study with a population of 5649 and a total sample of 104 respondents who were taken using accidental sampling method. Data was collected through visits to the respondent's house. ABI data were collected using 8 MHz vascular doppler. On the right leg, there were 13 respondents who experienced PAD (11 mild occlusion and 2 moderate occlusion), for the left leg there were 13 respondents who experienced PAD (8 mild occlusion and 5 moderate occlusion). PAD is one of the complications that can occur in patients with diabetes mellitus. Early detection of PAD is important, because most patients with PAD do not feel any symptoms. This is important to prevent diabetic ulcers in the patient's feet.
References
Agarwal, A. K., Singh, M., Arya, V., Garg, U., Singh, V. P., & Jain, V. (2012). Prevalence of peripheral arterial disease in type 2 diabetes mellitus and its correlation with coronary artery disease and its risk factors. The Journal of the Association of Physicians of India, 60, 28–32.
Ankle Brachial Index: quick reference guide for clinicians. (2012). Journal of Wound, Ostomy, and Continence Nursing : Official Publication of The Wound, Ostomy and Continence Nurses Society, 39 (2 Suppl), S21-9. https://doi.org/10.1097/WON.0b013e3182478dde
Bundó, M., Muñoz, L., Pérez, C., Montero, J. J., Montell, N., Torán, P., & Pera, G. (2010). Asymptomatic peripheral arterial disease in type 2 diabetes patients: A 10-year follow-up study of the utility of the ankle brachial index as a prognostic marker of cardiovascular disease. Annals of Vascular Surgery, 24 (8), 985–993. https://doi.org/10.1016/j.avsg.2010.06.001
Conte, S. M., & Vale, P. R. (2018). Peripheral Arterial Disease. Heart Lung and Circulation, 27(4), 427–432. https://doi.org/10.1016/j.hlc.2017.10.014
Costa, R. H. R., Cardoso, N. A., Procópio, R. J., Navarro, T. P., Dardik, A., & de Loiola Cisneros, L. (2017). Diabetic foot ulcer carries high amputation and mortality rates, particularly in the presence of advanced age, peripheral artery disease and anemia. Diabetes & Metabolic Syndrome, 11 Suppl 2, S583–S587. https://doi.org/10.1016/j.dsx.2017.04.008
Crawford, F., Welch, K., Andras, A., Fm, C., Crawford, F., Welch, K., Andras, A., & Fm, C. (2016). arterial disease ( Review ). https://doi.org/10.1002/14651858.CD010680.pub2.www.cochranelibrary.com
Criqui, M. H., & Aboyans, V. (2015). Epidemiology of peripheral artery disease. Circulation Research, 116(9), 1509–1526. https://doi.org/10.1161/CIRCRESAHA.116.303849
Gu, X., Man, C., Zhang, H., & Fan, Y. (2019). High ankle-brachial index and risk of cardiovascular or all-cause mortality: A meta-analysis. Atherosclerosis, 282, 29–36. https://doi.org/10.1016/j.atherosclerosis.2018.12.028
Hendriks, E. J. E., Westerink, J., de Jong, P. A., de Borst, G. J., Nathoe, H. M., Mali, W. P. T. M., van der Graaf, Y., van der Schouw, Y. T., & Beulens, J. W. (2016). Association of High Ankle Brachial Index With Incident Cardiovascular Disease and Mortality in a High-Risk Population. Arteriosclerosis, Thrombosis, and Vascular Biology, 36(2), 412–417. https://doi.org/10.1161/ATVBAHA.115.306657
IDF. (2019). IDF Diabetes Atlas 9th. In IDF Diabetes Atlas, 9th edition. https://diabetesatlas.org/idfawp/resource-files/2019/07/IDF_diabetes_atlas_ninth_edition_en.pdf
Kim, E. S. H., Wattanakit, K., & Gornik, H. L. (2012). Using the ankle-brachial index to diagnose peripheral artery disease and assess cardiovascular risk. Cleveland Clinic Journal of Medicine, 79(9), 651–661. https://doi.org/10.3949/ccjm.79a.11154
Lilly, S. M., Qasim, A. N., Mulvey, C. K., Churchill, T. W., Reilly, M. P., & Eraso, L. H. (2013). Non-compressible arterial disease and the risk of coronary calcification in type-2 diabetes. Atherosclerosis, 230(1), 17–22. https://doi.org/10.1016/j.atherosclerosis.2013.06.004
McDermott, M. M., Liu, K., Guralnik, J. M., Criqui, M. H., Spring, B., Tian, L., Domanchuk, K., Ferrucci, L., Lloyd-Jones, D., Kibbe, M., Tao, H., Zhao, L., Liao, Y., & Rejeski, W. J. (2013). Home-based walking exercise intervention in peripheral artery disease: A randomized clinical trial. JAMA - Journal of the American Medical Association, 310(1), 57–65. https://doi.org/10.1001/jama.2013.7231
Paraskevas, K. I., Phillips, M. J., & Shearman, C. P. (2016). Screening for Peripheral Arterial Disease Using the Ankle-Brachial Index in Diabetic and Other High-Risk Patients. Angiology, 67(7), 607–609. https://doi.org/10.1177/0003319715597090
Potier, L., Roussel, R., Labreuche, J., Marre, M., Cacoub, P., Röther, J., Wilson, P. W. F., Goto, S., Bhatt, D. L., & Steg, P. G. (2015). Interaction between diabetes and a high ankle-brachial index on mortality risk. European Journal of Preventive Cardiology, 22(5), 615–621. https://doi.org/10.1177/2047487314533621
Tehan, P. E., Bray, A., & Chuter, V. H. (2016). Non-invasive vascular assessment in the foot with diabetes: Sensitivity and specificity of the ankle brachial index, toe brachial index and continuous wave Doppler for detecting peripheral arterial disease. Journal of Diabetes and Its Complications, 30(1), 155–160. https://doi.org/10.1016/j.jdiacomp.2015.07.019
Xu, D., Zou, L., Xing, Y., Hou, L., Wei, Y., Zhang, J., Qiao, Y., Hu, D., Xu, Y., Li, J., & Ma, Y. (2013). Diagnostic value of ankle-brachial index in peripheral arterial disease: a meta-analysis. The Canadian Journal of Cardiology, 29(4), 492–498. https://doi.org/10.1016/j.cjca.2012.06.014
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.