Ankle-brachial index as a predictor of coronary disease events in elderly patients submitted to coronary angiography.


Journal Article

OBJECTIVES: To correlate the importance of the ankle-brachial index in terms of cardiovascular morbimortality and the extent of coronary arterial disease amongst elderly patients without clinical manifestations of lower limb peripheral arterial disease. METHODS: We analyzed prospective data from 100 patients over 65 years of age with coronary arterial disease, as confirmed by coronary angiography, and with over 70% stenosis of at least one sub-epicardial coronary artery. We measured the ankle-brachial index immediately after coronary angiography, and a value of <0.9 was used to diagnose peripheral arterial disease. RESULTS: The patients' average age was 77.4 years. The most prevalent risk factor was hypertension (96%), and the median late follow-up appointment was 28.9 months. The ankle-brachial index was <0.9 in 47% of the patients, and a low index was more prevalent in patients with multiarterial coronary disease compared to patients with uniarterial disease in the same group. Using a bivariate analysis, only an ankle-brachial index of <0.9 was a strong predictive factor for cardiovascular events, thereby increasing all-cause deaths and fatal and non-fatal acute myocardial infarctions two- to three-fold. CONCLUSION: In elderly patients with documented coronary disease, a low ankle-brachial index (<0.9) was associated with the severity and extent of coronary arterial disease, and in late follow-up appointments, a low index was correlated with an increase in the occurrence of major cardiovascular events.

Full Text

Duke Authors

Cited Authors

  • Papa, EDE; Helber, I; Ehrlichmann, MR; Alves, CMR; Makdisse, M; Matos, LN; Borges, JL; Lopes, RD; Stefanini, E; Carvalho, AC

Published Date

  • December 2013

Published In

Volume / Issue

  • 68 / 12

Start / End Page

  • 1481 - 1487

PubMed ID

  • 24473504

Pubmed Central ID

  • 24473504

Electronic International Standard Serial Number (EISSN)

  • 1980-5322

Digital Object Identifier (DOI)

  • 10.6061/clinics/2013(12)02


  • eng

Conference Location

  • Brazil