Avtor/Urednik		Žuran, Ivan
Naslov		Periferna arterijska okluzivna bolezen kot znanilec generalizirane ateroskleroze
Prevedeni naslov		Peripheral arterial occlusive disease as a marker of systemic atherosclerosis
Tip		članek
Vir		Med Razgl
Vol. in št.		Letnik 42, št. Suppl 2
Leto izdaje		2003
Obseg		str. 35-40
Jezik		slo
Abstrakt		Peripheral arterial occlusive disease is a relatively common manifestation of the atherosclerotic process with a prevalence of up to 6.9% in patients aged between 45 and 74. The systemic nature of atherosclerosis is supported by the concomitant appearance of peripheral arterial occlusive disease and ischemic heart disease with a relative risk of 6.6, and cerebrovascular disease with a relative risk of 5.9. In 60% of patients with peripheral arterial occlusive disease, additional ischemic heart disease and cerebrovascular disease can be detected. Asymptomatic cases of peripheral arterial occlusive disease can be identified by measuring the ankle/brachial pressure index in patients at risk of atherosclerosis. Noninvasive and invasive tests for the detection and risk stratification of ischemic heart disease in patients with symptomatic peripheral arterial occlusive disease, especially those planning to undergo surgical revascularization, are recommended. The presence and severity of carotid artery disease in these patients should be established by colour duplex ultrasound.
Izvleček		Periferna arterijska okluzivna bolezen je pogosta pojavna oblika ateroskleroze z razširjenostjo 6,9% v starosti med 45 in 74 let. Sistemsko naravo ateroskleroze potrjuje hkratno pojavljanje periferne arterijske okluzivne bolezni in ishemične bolezni srca z relativnim tveganjem 6,6 in cerebrovaskularne bolezni z relativnim tveganjem 5,9. V 60% primerov bolnikov s periferno okluzivno boleznijo lahko pričakujemo hkratno prisotnost ishemične bolezni srca in cerebrovaskularne bolezni. Pri bolnikih s povečanim tveganjem za aterosklerozo lahko z izračunom indeksa sistoličnih tlakov gleženj/nadlakt opredelimo vse tiste bolnike, pri katerih je že prisotna asimptomatska oblika periferne arterijske okluzivne bolezni. Pri bolnikih s simptomatsko obliko periferne arterijske okluzivne bolezni, zlasti pri tistih pred načrtovanimi rekonstruktivnimi posegi na žilah, moramo z neinvazivnimi ali invazivnimi preiskavami opredeliti stopnjo pridružene ishemične bolezni srca. Prisotnost pomembnih zožitev karotidnih arterij ocenimo z ultrazvočno preiskavo vratnih arterij.
Deskriptorji		ARTERIAL OCCLUSIVE DISEASES PERIPHERAL VASCULAR DISEASES ATHEROSCLEROSIS CORONARY DISEASE CEREBROVASCULAR DISORDERS INTERMITTENT CLAUDICATION