European Journal of Cardiovascular Medicine

Background: Coronary artery disease(CAD) is a leading cause of morbidity and mortality in India. We have done this work to study prevalence of symptomatic and asymptomatic PVD in CAD patients undergoing CABG and to study whether low ankle brachial pressure index (ABPI) can be used as predictor of morbidity and mortality in CABG. Methods: Descriptive study was done enrolling continuous 80 patients who were referred for coronary artery bypass grafting. On bases of ABPI they were divided into 2 groups, group I included patients of CAD with PAD and group II included patients of CAD without PVD. Syntax score was calculated. Cardiovascular risk factors, intraoperative mortality and myocardial infarction, postoperative complications were studied.  Study was performed from March 2013 up to December 2014. Results:  88.75% of patients were males and 11.25% patients were females. Mean age was 55.94±8.42. Smoking and hypertension encountered in 85% and 45.6% of all patients respectively. BMI of >30 was present in 8.75% patients. 36% patients of group I and 35 % patients of group were diabetic. Left anterior descending artery was most commonly involved vessel in 97%. Deranged RFT's were found in 29% and 8% patients in group I and II respectively.  Conclusion: ABPI can be useful in assessing both the atherosclerotic risk factors and the degree of coronary involvement.  ABPI is a simple and easy tool to diagnose symptomatic and asymptomatic PVD.