Asociación entre el índice tobillo brazo y el riesgo cardiovascular en pacientes con Diabetes Mellitus tipo 2 en el Hospital Nacional Edgardo Rebagliati Martins

• Autores: Rivasplata Vásquez, Esther, Zapata Cárdenas, Juana Karina, Pinelo Coll Cárdenas, Anna Caroll
• Formato: tesis de grado
• Fecha de Publicación: 2014
• Institución: Universidad Peruana de Ciencias Aplicadas
• Repositorio: UPC-Institucional
• Lenguaje: español
• OAI Identifier: oai:repositorioacademico.upc.edu.pe:10757/322291
• Enlace del recurso: http://hdl.handle.net/10757/322291
• Nivel de acceso: acceso abierto
• Materia: Diabetes mellitus; Enfermedades cardiovasculares; Pacientes; Medicina

BACKGROUND: The DM2 is a rapidly growing public health problem, which affects about 2-5% of the general population. Diabetic patients are 2 to 4 times more likely to have a cardiovascular disease. Therefore, different CV risk scores have been established, as the Framingham and UKPDS risk scores. There are other ways to establish the CV risk, such as the ABI, which is a very useful tool that identifies the presence of PAD. This one increases the CV risk in diabetic patients and general population. OBJECTIVES: The aim of this study is to identify the association between the Cardiovascular Risk categories and Ankle Brachial Index (ABI) results in Diabetes Mellitus type 2 (DM2) patients. METHODS: We conducted a cross-sectional study with 151 patients with DM2, selected by continuity, in the Peruvian Health Social Security System (ESSALUD). It is defined as normal ABI values between 0.9-1.4 and abnormal ABI <0.9. ABI is calculated dividing the higher of the pressures of the posterior tibial and pedial arteries of the lower limbs, measured with a Doppler transducer, between the higher of the pressures of both upper limbs, measured with a sphygmomanometer. On the other hand, the CVR was measured by Framingham and UKPDS risk scores, which are divided into three categories: low (<10%), intermediate (10-20%) and high (>20%).