Ankle-Brachial Index and Coronary Artery Lesion Complexity in Patients With Acute Coronary Syndromes

作者：Korkmaz Levent^*; Adar Adem; Erkan Hakan; Agac Mustafa Tarik; Acar Zeydin; Kurt Ibrahim Halil; Akyuz Ali Riza; Bektas Huseyin; Celik Sukru

来源：Angiology, 2012, 63(7): 495-499.

DOI：10.1177/0003319711429561

• acute coronary syndrome
• ankle-brachial index
• SYNTAX score
• peripheral artery disease

We investigated the relationship between peripheral artery disease (PAD) and coronary artery disease (CAD) complexity in patients with acute coronary syndromes (ACS). Consecutive patients with first time diagnosis of ACS (n = 150) were enrolled. SYNTAX score (SS), a marker of CAD complexity, was assessed by dedicated computer software and diagnosis of PAD was established by ankle-brachial index (ABI) value. SYNTAX score was higher in patients with overt and borderline PAD (ABI <= 0.99) than normal participants (ABI 1-1.29; 16.7 +/- 8.2 vs 10.1 +/- 5.5; P < .001). In addition, there was a strong negative correlation between ABI and SS (r = -.46; P < .001). We have demonstrated increased CAD complexity in patients with ACS and PAD and strong correlation between degree of PAD and coronary lesion complexity.

• 出版日期2012-10