Prevalence of peripheral arterial disease in patients with heart failure with preserved ejection fraction

• Autor(a) principal: Cunha, Giuliano Reolon da
• Data de Publicação: 2019
• Outros Autores: Brugnarotto, Roberto José, El Halal, Victória Armendaris, Menezes, Márcio Garcia, Bartholomay, Eduardo, Albuquerque, Luciano Cabral, Danzmann, Luiz Cláudio
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Clinics
• Texto Completo: https://www.revistas.usp.br/clinics/article/view/163194
• topic: Ankle-Brachial Index; Heart Failure; Peripheral Arterial Disease

OBJECTIVES: To describe the prevalence of the reduced ankle-brachial index (ABI) in patients with heart failure (HF) with preserved ejection fraction (HFpEF) attended at a HF clinic in the metropolitan region of Porto Alegre, and to compar the patients to those with reduced ejection fraction (HFrEF). METHODS: A descriptive observational study, included patients referred to the heart failure clinic in HU-Ulbra with HFpEF or HFrEF and diastolic dysfunction, and measurements of ABIs using vascular Doppler equipment were performed in both groups. RESULTS: The sample consisted of 106 patients with HF, 53.9% of the patients had HFpEF, and 19.4% had a diagnosis of peripheral arterial disease (PAD) (ABI less than 0.9). PAD was identified in 24.1% of the patients with HFpEF, while15.8% of patients in the HFrEF group were diagnosed with PAD. CONCLUSION: Our results did not identify a significantly different prevalence of altered and compatible PAD values in patients with HFpEF. However, we showed a prevalence of 19.4%, a high value if we consider similar populations.