Clinical and subclinical characteristics in patients with chronic lower limb arterial disease

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Abstract

Chronic lower limb arterial disease mainly affects quality of life, and causes handicapped. Most patients are asymptomatic and often go to hospital when they are in severe stages of the disease.

Objectives: To describe clinical characteristics and damages by doppler ultrasound in patients with chronic lower limb arterial disease. Investigation of the relationship between traditional risk factors and severity of disease.

Subjects and methods: 57 patients in the Internal Cardiology Department of Hue Central Hospital were diagnosed with chronic lower limb arterial disease by Doppler ultrasound. From June 2014 to August 2016.

Study design: Description, cross section

Results: Rate of pain was 41.6%; Painful at rest was 43.6%; 18.8% necrotic ulcers. Cold legs was 82.2%; change of skin color by 55.4%; Numbness 51.5%; Muscular dystrophy 37.6%. Abnormalities of vascular perfusion were 94.1%. The proportion of hospitalized patients with Phase III and IV (admitted to Leriche Fontain) was 57.9%. The rate of thrombosis is quite high, up to 43.8%, calcificated 23.7%. The rate of occlusion was highest (39.9%), narrowing ≥ 50% was 81.9%. There was a correlation between LDL-cholesterol, obesity, and hyperlipidemia with ultrasound lesion, and between cigarette smoking, total cholesterol, LDL

Conclusion: Patients with chronic lower limb arterial disease were hospitalized with multiple and atypical symptomatic, even in severe stages of disease and there were relationships between risk factors with severity of disease on clinic and doppler ultrasound.

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Published 25-12-2018
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Issue No. 52 (2018)
Section Original article
DOI
Keywords Bệnh động mạch chi dưới mạn, Siêu âm Doppler Chronic lower limb arterial disease, doppler ultrasound

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Nguyen, T. D., & Nguyen, L. R. (2018). Clinical and subclinical characteristics in patients with chronic lower limb arterial disease. Journal of Clinical Medicine Hue Central Hospital, (52), 17–22. Retrieved from https://jcmhch.com.vn/index.php/home/article/view/1367