The ankle-brachial index is associated with cardiovascular complications after noncardiac surgery

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dc.creatorGabriel Assis Lopes do Carmo
dc.creatorB. Caramelli
dc.creatorA. C. Marques
dc.creatorA. F. Pastana
dc.creatorD. M. Gualandro
dc.creatorD. Calderaro
dc.creatorP. C. Yu
dc.date.accessioned2023-08-14T22:38:23Z
dc.date.accessioned2025-09-08T23:02:54Z
dc.date.available2023-08-14T22:38:23Z
dc.date.issued2016
dc.format.mimetypepdf
dc.identifier.doihttps://doi.org/10.1177/0003319715589684
dc.identifier.issn0003-3197
dc.identifier.urihttps://hdl.handle.net/1843/57823
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofAngiology
dc.rightsAcesso Restrito
dc.subjectÍndice Tornozelo-Braço
dc.subjectAterosclerose
dc.subjectFatores de Risco de Doenças Cardíacas
dc.subjectAssistência Perioperatória
dc.subject.otherAnkle-brachial index
dc.subject.otherAtherosclerosis
dc.subject.otherCardiovascular risk
dc.subject.otherPerioperative care
dc.titleThe ankle-brachial index is associated with cardiovascular complications after noncardiac surgery
dc.typeArtigo de periódico
local.citation.epage196
local.citation.issue2
local.citation.spage196
local.citation.volume67
local.description.resumoBackground: This study evaluated the association of the ankle-brachial index (ABI) and cardiovascular complications after noncardiac surgery. Methods: We prospectively evaluated patients referred for noncardiac surgery. The ABI was performed before surgery. Patients with abnormal ABI ( 0.9) were included in the peripheral artery disease (PAD) group and the remaining constituted the control group. Cardiac troponin and electrocardiogram were obtained 72 hours after surgery. Patients were followed up to 30 days, and primary end point was the occurrence of any cardiovascular event: cardiovascular death, acute coronary syndrome, isolated troponin elevation (ITE), decompensated heart failure, cardiogenic shock, unstable arrhythmias, nonfatal cardiac arrest, pulmonary edema, stroke, or PAD symptoms increase. Results: We evaluated 124 patients (61.3% male; mean age 65.4 years). During the study, 57.9% of patients in the PAD group had an event versus 25.7% in the control group (P ¼ .011).The ITE was the most observed event (24.2%). After logistic regression, the odds ratio for ITE was 7.4 (95% confidence interval 2.2-25.0, P ¼ .001). Conclusions: In patients submitted to noncardiac surgery, abnormal ABI is associated with a higher occurrence of a cardiovascular event.
local.publisher.countryBrasil
local.publisher.departmentMED - DEPARTAMENTO DE CLÍNICA MÉDICA
local.publisher.initialsUFMG
local.url.externahttps://journals.sagepub.com/doi/10.1177/0003319715589684?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed

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