在患有外周动脉疾病的患者中,小腿周长和心血管健康指标之间的关联
Fabiana Gonçalves Ferreira1, Hélcio Kanegusuku2, Wellington Segheto3
1Postgraduate Program in Medicine, Universidade Nove de Julho, São Paulo, SP, Brazil.
Einstein (Sao Paulo, Brazil)
|September 17, 2025
概括
在患有外周动脉疾病的女性中,小小的小腿周长与更大的动脉硬有关. 这表明小牛的大小可能表明这个人群中的心血管风险.
科学领域:
- 心血管医学 心血管医学
- 血管生物学 血管生物学
- 临床诊断 临床诊断 临床诊断
背景情况:
- 周围动脉疾病 (PAD) 影响血管健康,并与心血管风险增加有关.
- 牛犊周长是一个简单的人类测量尺度,可能反映了潜在的生理条件.
研究的目的:
- 研究患有症状外周动脉疾病的患者的小腿周长和各种心血管指标之间的关系.
- 确定小腿周长是否可以作为PAD男性和女性动脉硬的潜在生物标志物.
主要方法:
- 对259名患有外周动脉疾病的患者进行了横截面研究.
- 测量包括小腿周长,血压,动脉硬度 (脉冲波速度,增强指数) 和心率变化.
- 采用多重线性回归分析,调整了诸如年龄,脚-手臂指数和行走能力等共变量.
主要成果:
- 在患有PAD的女性中,小腿周长与中心血压和增高指数呈反向关联,表明小腿尺寸较小时动脉硬度较高.
- 在对药物和BMI进行调整后,带-大腿脉冲波速仍然与女性的小腿周长有显著的关联.
- 在患有PAD的男性中,小腿周长和心血管指标之间没有发现显著的关联.
结论:
- 减少小腿周长与患有外周动脉疾病的妇女的动脉硬性增加有关.
- 在被诊断为PAD的妇女中,小腿周长可能是动脉硬和心血管风险的有用,非侵入性指标.
相关概念视频
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
364
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
364
Assessment of the Cardiovascular System III: Palpation
1.0K
Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
1.0K
Peripheral Artery Disease IV: Nursing Management
351
The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
351
Peripheral Artery Disease III: Interprofessional Care
248
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
248
Peripheral Artery Disease I: Introduction
314
Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs, particularly the arteries supplying the thighs and calves. In rare cases, it may involve other arteries, including those in the arms.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty...
314
Assessing Blood pressure in the Leg
9.1K
Proper measurement of leg blood pressure is a critical skill for healthcare providers, ensuring precise and reliable readings. When performed correctly, this procedure informs patient care and enhances the efficacy of interventions. The following text outlines step-by-step guidelines to measure blood pressure in the leg, providing clarity and ease of understanding for practitioners.
Preparation:
Preparation:
9.1K


