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Updated: Sep 27, 2026

Hydra, a Computer-Based Platform for Aiding Clinicians in Cardiovascular Analysis and Diagnosis
Published on: September 26, 2018
[Multivascular disease in clinical practice]
Nebojsa Despotović1, Mihajlo Zdravković
1Department of Cardiology and Angiology, Zvezdara University Clinical Centre, Belgrade. ndsp@beotel.yu
Insights
Patients with peripheral arterial disease often have coexisting coronary artery disease. Routine screening for coronary artery disease is recommended when peripheral arterial disease is diagnosed.
Area of Science:
- Cardiovascular Medicine
- Vascular Surgery
- Atherosclerosis Research
Context:
- Multiple arterial disease involves the simultaneous presence of ischaemic heart disease, carotid disease, and peripheral arterial disease.
- Atherosclerosis is the primary underlying cause of these conditions.
- The study included 150 patients exhibiting symptoms of disease in at least two major arterial systems.
Purpose:
- To investigate the correlations between ischaemic heart disease, carotid disease, and peripheral arterial disease.
- To assess the extent of arterial disease in the coronary, carotid, and lower extremity peripheral arteries using noninvasive and invasive methods.
Summary:
- A statistically significant correlation was found between ischaemic heart disease and carotid disease (r = 0.939, p < 0.01).
- Significant correlations were also observed between ischaemic heart disease and peripheral arterial disease (r = 0.834, p < 0.05).
- A strong correlation was identified among all three conditions: ischaemic heart disease, peripheral arterial disease, and carotid disease (r = 0.986, p < 0.01).
Impact:
- The findings highlight a strong association between peripheral arterial disease and coronary artery disease.
- Routine examination for coronary artery disease is crucial when clinical manifestations of peripheral arterial disease are present.
- This underscores the importance of a comprehensive vascular assessment in patients with atherosclerosis.
Abstract:
Multiple arterial disease is presented by coexistence of ischaemic heart disease, carotid disease and peripheral obliterate arterial disease. Atherosclerosis is the main factor for onset of the disease. Among 150 patients with clinical manifestations of obliterate disease of at least two aforementioned arterial systems, we examined by many noninvasive and invasive procedures the existence and degree of obliterate arterial disease of coronary, carotid and peripheral arteries of the lower extremities. The results revealed the statistically significant correlation among: ischaemic heart disease and carotid disease (r = 0.939; p < 0.01); ischaemic heart disease and peripheral arterial disease (r = 0.834; p < 0.05); ischaemic heart disease, peripheral arterial disease and carotid disease (r = 0.986; p < 0.01). The results pointed out that whenever clinical manifestations of obliterate disease of peripheral arteries are present, there is also need for routine examination of existent coronary artery disease.
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