Prevalence of peripheral arterial disease in patients with heart failure with preserved ejection fraction

OBJECTIVES: To describe the prevalence of the reduced ankle-brachial index (ABI) in patients with heart failure (HF) with preserved ejection fraction (HFpEF) attended at a HF clinic in the metropolitan region of Porto Alegre, and to compar the patients to those with reduced ejection fraction (HFrEF). METHODS: A descriptive observational study, included patients referred to the heart failure clinic in HU-Ulbra with HFpEF or HFrEF and diastolic dysfunction, and measurements of ABIs using vascular Doppler equipment were performed in both groups. RESULTS: The sample consisted of 106 patients with HF, 53.9% of the patients had HFpEF, and 19.4% had a diagnosis of peripheral arterial disease (PAD) (ABI less than 0.9). PAD was identified in 24.1% of the patients with HFpEF, while15.8% of patients in the HFrEF group were diagnosed with PAD. CONCLUSION: Our results did not identify a significantly different prevalence of altered and compatible PAD values in patients with HFpEF. However, we showed a prevalence of 19.4%, a high value if we consider similar populations.

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Bibliographic Details
Main Authors: da Cunha,Giuliano Reolon, Brugnarotto,Roberto José, Halal,Victória Armendaris El, Menezes,Márcio Garcia, Bartholomay,Eduardo, Albuquerque,Luciano Cabral, Danzmann,Luiz Cláudio
Format: Digital revista
Language:English
Published: Faculdade de Medicina / USP 2019
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322019000100280
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