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Ankle brachial index in patients with type II diabetes mellitus undergoing coronary angiography

Objective The aim was to determine the relation between ankle-brachial index (ABI) with angiographic stenosis and major cardiovascular risk factors in type II diabetes mellitus (DM) patients. Background The role of DM in relation to coronary artery disease (CAD) was believed to be as important as CAD itself. Patients with DM were frequently combined with peripheral arterial disease. ABI is a noninvasive tool for identifying atherosclerosis, CAD. Patients and methods Patients under study were those admitted to Menoufia University Hospital and who had undergone coronary angiography. A total of 80 patients over 35 years of age with suspected CAD had been enrolled. All patients were subjected to ABI measurements and coronary angiography and risk factor. Patients had been divided into four groups according to ABI measurements and type II DM. Results ABI is a simple, inexpensive method for diagnosing patients with peripheral arterial disease. ABI is a sensitive, noninvasive predictor of CAD in diabetic patients. Conclusion ABI is a sensitive, noninvasive predictor of CAD in diabetic patients. It needs other markers for better specificity for predicting CAD.