Association of Ankle Brachial Pressure Index (ABPI) in Patients with Ischemic Stroke : A Case Control Study

Authors

  • Mohammad Selim Shahi Department of Hematology Sir Salimullah Medical College & Mitford Hospital Dhaka
  • Aminur Rahman Department of Neurology Sir Salimullah Medical College & Mitford Hospital Dhaka
  • Md Shaheen Wadud Department of Neurology Sir Salimullah Medical College & Mitford Hospital Dhaka
  • Uttam Kumar Saha Department of Neurology National Institute of Neurosciences & Hospital Dhaka
  • AK Takib Uddin Ahmed Department of Neurology Sir Salimullah Medical College & Mitford Hospital Dhaka
  • Zahed Ali Department of Neurology Sir Salimullah Medical College & Mitford Hospital Dhaka
  • Narayan Chandra Kundu Department of Neurology Shaheed Suhrawardy Medical College Dhaka
  • Firoz Ahmed Quraishi Department of Interventional Neurology National Institute of Neurosciences & Hospital Dhaka
  • Sakhawat Hossain Department of Neurology Sir Salimullah Medical College & Mitford Hospital Dhaka

DOI:

https://doi.org/10.3329/cmoshmcj.v12i3.16710

Keywords:

Ischemic stroke, Ankle Brachial Pressure Index (ABPI), vascular risk factors (VRF)

Abstract

Background: Several epidemiological studies have identified the association of abnormal ABPI with ischemic stroke. So the goal of this study was to determine the actual relationship of ABPI with ischemic stroke in the context of our country.

Methods: This case control study was carried out in the Department of Neurology, Sir Salimullah Medical College and Mitford Hospital, Dhaka, Bangladesh. ABPI was measured by Doppler ultrasound machine of 100 patients who were admitted to the Mitford Hospital during the study period. Among them 50 patients with Ischemic stroke, confirmed by CT/MRI scan of brain were considered as case and 50 age-sex matched individuals with one or more vascular risk factors (VRF) but without stroke were considered as control. Then the results of ABPI were compared between the two groups.

Results: Among the 50 patients with ischemic stroke (case group), 74% had normal ABPI and 26% had ABPI< 0.9; on the other hand among 50 age and sex matched individuals (control group) 90% had normal ABPI and 10% had ABPI <0.9. The difference was statistically significant between two groups. (p=<0.05).This association remained significant even after adjustment for potential confounders (age, gender, high BMI, hypertension, diabetes mellitus, hyperlipidemia, smoking, ischemic heart disease and family history) in a multiple logistic regression model.

Conclusion: The incidence of low ABPI is significantly higher in ischemic stroke patients than the age- sex matched control.

Chattagram Maa-O-Shishu Hospital Medical College Journal Volume 12, Issue 3, September 2013: 27-33

Downloads

Download data is not yet available.
Abstract
916
PDF
934

Downloads

Published

2013-10-28

How to Cite

Shahi, M. S., Rahman, A., Wadud, M. S., Saha, U. K., Ahmed, A. T. U., Ali, Z., Kundu, N. C., Quraishi, F. A., & Hossain, S. (2013). Association of Ankle Brachial Pressure Index (ABPI) in Patients with Ischemic Stroke : A Case Control Study. Chattagram Maa-O-Shishu Hospital Medical College Journal, 12(3), 27–33. https://doi.org/10.3329/cmoshmcj.v12i3.16710

Issue

Section

Original Articles