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Published on: September 22, 2020
[Obliterating arteriosclerosis of lower limb arteries and ischemic heart disease clinico-pathogenetic correlations]
Insights
Chronic alcoholism significantly worsens obliterating atherosclerosis of lower limbs arteries (OALLA) progression, independent of ischemic heart disease (IHD). This risk factor is more prevalent in OALLA patients without IHD.
Area of Science:
- Vascular Surgery
- Cardiology
- Clinical Medicine
Context:
- Obliterating atherosclerosis of lower limbs arteries (OALLA) is a serious condition affecting arterial circulation.
- Ischemic heart disease (IHD) often co-exists with OALLA, suggesting shared risk factors.
- Understanding these correlations is crucial for effective patient management.
Purpose:
- To investigate the clinical and pathogenetic links between OALLA stages and IHD.
- To determine the influence of various risk factors on OALLA progression across different arterial territories.
- To identify specific risk factors contributing to OALLA development and progression.
Summary:
- The study analyzed 76 OALLA patients, assessing correlations with IHD and risk factors.
- Chronic alcoholism emerged as a significant factor, more prevalent in patients with OALLA alone (61%) compared to those with OALLA and IHD (24.1%).
- Chronic alcoholism is identified as an independent risk factor for OALLA development and progression.
Impact:
- Highlights chronic alcoholism as a critical, independent risk factor for OALLA.
- Informs clinical practice regarding risk factor assessment and management in OALLA patients.
- Provides insights into the pathogenetic mechanisms linking OALLA and IHD, particularly concerning alcohol's role.
Abstract:
To study clinical and pathogenetic correlations between different stages of arterial deficiency in obliterating atherosclerosis of lower limbs arteries (OALLA) and various clinical forms of ischemic heart disease (IHD) as well as the influence of different risk factors on OALLA clinical course in different arterial territories. The study included 76 OALLA patients (73 men and 3 women, mean age 56 years). The diagnosis was made on the basis of typical complaints, physical and device examinations. IHD was diagnosed on the basis of typical clinical symptoms and/or findings of the device examinations. OALLA and IHD differ by some risk factors. One of them--chronic alcoholism--is responsible for OALLA progression. This was shown by the analysis of chronic alcoholism prevalence in two groups of patients: with OALLA alone and OALLA in combination with IHD. In the former group alcoholics prevailed (61 vs 24.1%). Chronic alcoholism may be considered as an independent risk factor of OALLA development.
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