Pathological ABI at patients with acute ischemic stroke: prevalence and factors associated with its presence

Abstract

Aim. Examine the frequency of detection of abnormal ankle-brachial index (ЛВІ) in patients with acute stroke (CVA) and assessed the factors associated with its presence in this group of patients. At patients evaluated the presence of cardiovasculardisease, prior vascular events, type and subtype of stroke. Methods and Materials. The following studies were conducted: color duplex scanning of lower extremity arteries, brachiocephalic arteries, echocardiogram, electrocardiogram, as well as laboratory studies (lipidogrmma). Results. The study found that patients with abnormal levels of AВІ often have concomitant cardiovascular disease (angina, chronic heart failure, arrhythmias). In patients with abnormal AВІ often identified ischemic stroke. It was found that the stenosis of extracranial arteries, thickened complex intima-media (IMT), stenosis of the arteries of the lower extremities are most common in patients with abnormal AВІ (p - 0.02). When evaluating lipidogram, total cholesterol was also higherinpatients with abnormal ABI (p = 0.08). Conclusion. The assessment of the ABI is suitable for ischemic stroke to identify patients with peripheral atherosclerosis and of their targeted prevention activities.