DOI: 10.36347/sjams.2016.v04i11.015

Pages: 3930-3935

Aim of the study was to evaluate the severity of peripheral artery disease in diabetic and non-diabetic patients , using Ankle Brachial Index and to correlate the severity of Peripheral Arterial Disease with severity of Coronary Artery Disease , by clinical and non- invasive methods. 50 diabetic and 50 non diabetic patients with Peripheral Arterial Disease(PAD) were included in the study. PAD was assessed clinically by using Ankle Brachial Index (ABI) value of less than 0.9. Presence of Coronary Artery Disease (CAD) in the two groups was assessed by clinical criteria and by non- invasive investigations namely 12 lead Electrocardiography (ECG), 2 D Echocardiography (ECHO) and Treadmill test (TMT). The severity of PAD in the diabetic group was correlated with the extent of CAD. Results: Presence of CAD in the diabetic and non- diabetic patients with PAD was found to be 48% and 8% respectively. Patients with more severe PAD in the diabetic group had higher mean blood sugar levels. ABI values were lower in long standing diabetic patients. ABI values were also lower in diabetic patients who had more symptoms of PAD, as assessed by Fontaine’s grading, and was statistically significant. 24 patients were found to have CAD in the diabetic group. Patients with low ABI had more severe CAD. ECG changes and ECHO findings in these patients were significant. We conclude that ABI is a very useful non- invasive tool to pick up the patients with PAD. It is also an important parameter to predict CAD especially in the diabetic patients.