Peripheral arterial disease diagnosis in patientes with coronary disease - Implications for cardiovascular rehabilitation programs

• Autor(a) principal: Viamonte, Sofia Gonçalves; Assistente Hospitalar de Medicina Física e de Reabilitação
• Data de Publicação: 2013
• Outros Autores: Martins, Joana; Assistente Hospitalar de Cirurgia Vascular, Fernandes, Preza; Assistente Hospitalar Graduado de Cardiologia, Cunha, Daniela; Técnica de Cardiopneumologia, Gomes, João Lopes; Chefe de Serviço de Cardiologia/Director do Departamento de Medicina. Unidade de Prevenção e Reabilitação Cardiovascular - Centro Hospitalar do Porto/Hospital de Santo António
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: https://doi.org/10.25759/spmfr.36

Introduction: After an ischemic cardiac event patients often face the increased risk of developing ObstructivePeripheral Arterial Disease (OPAD) symptoms as a manifestation of vascular disease, with additional impact overfunctional capacity and quality of life. Frequently, intermittent claudication (IC) symptoms appear for the firsttime during supervised exercise sessions in the context of a cardiac rehabilitation program (CRP) addressed tocoronary disease (CD), influencing the rehabilitative process. It’s therefore important to implement specific strategies to diagnose and treat OPAD on Cardiovascular Prevention and Rehabilitation Units (CVPRU),incorporated on the established CRP.Methods: Prospective study aiming to determine the real prevalence of OPAD and its association with modifiable Cardiovascular Risk Factors in patients with CD referred to the Cardiovascular Prevention and Rehabilitation Unitin Centro Hospitalar do Porto/Hospital de Santo António during the year 2009.Results: Doppler ultrasound with Ankle-Brachial Index (ABI) was performed on 141 patients with CD admitted toa CRP in the CVPRU: 115(81,5%) male and 26 (18,5%) female. OPAD diagnosis (ABI <0,9) was confirmed in 21patients (17 male and 4 women), corresponding to a 14,8% prevalence. In 11 patients (7,8%; 52,3% of thepatients with OPAD) IC appeared for the first time during the CRP. There was a significant correlation between OPAD and smoking habits (p<0,002), present in 17 of the 21 patients); sedentary habits (p<0,002), also present in17 patients and Hypertension (p<0,01) diagnosed in 15 patients.Conclusion: OPAD elevated prevalence and its clinical variability indicates the need to include the ABI in theevaluation of patients with CD. It’s important to implement on CVPRU measures to prevent and treat the severalmanifestations of atherosclerotic disease.Keywords: Coronary Disease, Peripheral Vascular Disease, Ankle Brachial Index, Rehabilitation.