Evaluation of Risk Factor in Iraqi Patients with Angiographically Documented Peripheral Vascular Disease and the Effect of Specific Risk Factor on Specific Site or Vessel

Abstract

Introduction: The prevalence of lower extremity peripheral arterial disease (PAD) varies across populations, based on the groups studied and thedetection methods used. Patients with PAD have significantly increased functional impairment and elevated rates of functional decline relativeto those without PAD. Objective: This study was designed to determine the prevalence of risk factor in Iraqi patients with angiographicallydocumented peripheral vascular disease (PVD) and effect of specific risk factor on specific vessel or area. Materials and Methods: Inthis case–control study from January 2010 to June 2011, 111 consecutive patients who attend care at the Iraqi center of heart disease withangiographically confirmed PVD were studied. They had clinical assessment including special documentation of risk factors. Luminalarterial narrowing of 50% or more is considered as a significant vascular lesion. Results: One hundred and eleven patients were includedin this study, of whom 81 (73%) were male and 30 (27%) were female, with a mean age of 58.6 years. Of those patients, fifty‑one had donecoronary angiography. All the patients have significant PAD. Aging, gender, smoking, hypertension, diabetes mellitus, hyperlipidemia, andrenal impairment are significantly associated risk factors for PAD. No statistically significant relation was found between specific risk factorand specific vessel involved. Conclusion: PVD prevalence increases with an increased number of risk factors. PVD prevalence increases withincreased age. PVD was more prevalent in males. There was no relation between specific risk factors and specific anatomical area or vessel