Objetivo: Determinar la prevalencia de la Enfermedad Arterial Periférica (EAP)en pacientes con Diabetes Mellitus tipo 2 atendidos en el Hospital Regional José Cayetano Heredia de Piura durante el año 2019. Metodología: El estudio es de tipo transversal, analítico, prospectivo, observacional, que se realizó con 100 pacientes diabéticos, atendidos en el servicio de de emergencia de cirugía y medicina del Hospital Regional José Cayetano Heredia de Piura durante el año 2019, a quienes se realizó la medición del índice tobillo-brazo (ITB), utilizando un dispositivo doppler portátil de 8.0 Mhz y un esfigmomanómetro con manguito manual para adultos. Resultados: De los 100 pacientes, se obtuvo una importante prevalencia de EAP (42%) mediante ITB < 0,9, y el 6% del presentó ITB < 0,5 o isquemia crítica de miembros inferiores. El 50% de las mujeres y el 34,6% de los varones en est...

Shaggy aorta (SA) is characterized by a critical and extensive atheromatous disease of the thoracic and abdominal aorta. This degenerative and dangerous pathology is the result of the confluence of multiple modifiable and non-modifiable risk factors. The clinical importance of this pathology relies on the various syndromes that can develop from its etiopathogenesis, which generates great morbidity and mortality in the affected patients. In this document, we present an updated and detailed review of this entity, developing aspects of its pathophysiology, diagnosis, including the importance of multimodal imaging, and its therapeutic approach. Finally, we present the clinical settings of patients with SA in different aortic scenarios (aortic dissection, ulcerated plaques, and thrombosed aneurysms) that denote the nature of this disease and its high mortality.

Shaggy aorta (SA) is characterized by a critical and extensive atheromatous disease of the thoracic and abdominal aorta. This degenerative and dangerous pathology is the result of the confluence of multiple modifiable and non-modifiable risk factors. The clinical importance of this pathology relies on the various syndromes that can develop from its etiopathogenesis, which generates great morbidity and mortality in the affected patients. In this document, we present an updated and detailed review of this entity, developing aspects of its pathophysiology, diagnosis, including the importance of multimodal imaging, and its therapeutic approach. Finally, we present the clinical settings of patients with SA in different aortic scenarios (aortic dissection, ulcerated plaques, and thrombosed aneurysms) that denote the nature of this disease and its high mortality.

Shaggy aorta (SA) is characterized by a critical and extensive atheromatous disease of the thoracic and abdominal aorta. This degenerative and dangerous pathology is the result of the confluence of multiple modifiable and non-modifiable risk factors. The clinical importance of this pathology relies on the various syndromes that can develop from its etiopathogenesis, which generates great morbidity and mortality in the affected patients. In this document, we present an updated and detailed review of this entity, developing aspects of its pathophysiology, diagnosis, including the importance of multimodal imaging, and its therapeutic approach. Finally, we present the clinical settings of patients with SA in different aortic scenarios (aortic dissection, ulcerated plaques, and thrombosed aneurysms) that denote the nature of this disease and its high mortality.