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

Clinics (Sao Paulo). 2019 Oct 14:74:e978. doi: 10.6061/clinics/2019/e978. eCollection 2019.

Abstract

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.

Publication types

  • Observational Study

MeSH terms

  • Aged
  • Ankle Brachial Index*
  • Female
  • Heart Failure / complications
  • Heart Failure / physiopathology*
  • Humans
  • Male
  • Middle Aged
  • Peripheral Arterial Disease / etiology
  • Peripheral Arterial Disease / physiopathology*
  • Prevalence
  • Risk Factors
  • Stroke Volume / physiology*
  • Urban Population