A Cross Sectional Study on Assessment of Coronary Artery Disease in Patients with Peripheral Arterial Disease

Introduction: Peripheral artery disease (PAD) is an atherosclerotic disease associated with cardiovascular risk factors, and with high cardiovascular morbidity and mortality. This study was done to assess the prevalence of CAD, and to evaluate the risk factors for the presence of CAD in patients with PAD.Materials and Methods: A total of 300 patients with peripheral artery disease underwent coronary angiogram; age and CV risk factors including diabetes, hypertension, smoking, dyslipidemia were recorded.Results: The coronary angiograms of 132 (44%) patients were within normal limits, and 168 (56%) patients manifested CAD with 44% being critical. Smoking, diabetes and hypetemsion were significantly associated with CAD, with the later two being independent predictors.Conclusion: There is high incidence of CAD in patients with peripheral artery disease with heterogenous spectrum. Aggressive treatment of cardiovascular risk factors in PAD is critically important in reducing mortality and morbidity.