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Iranian Journal of Kidney Diseases، جلد ۷، شماره ۳، صفحات ۲۰۴-۰
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| عنوان فارسی |
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| چکیده فارسی مقاله |
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| کلیدواژه‌های فارسی مقاله |
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| عنوان انگلیسی |
Correlation Between Ankle-Brachial Index and Microalbuminuria in Type 2 Diabetes Mellitus |
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| چکیده انگلیسی مقاله |
Introduction. Microalbuminuria is a reliable marker of diabetic nephropathy. Establishment of peripheral vascular complications leads to early diagnosis, prevention, and treatment of renal and cardiovascular complications. This study investigated the value of ankle-brachial index (ABI) for prediction of microalbuminuria in type 2 diabetic patients. Materials and Methods . Measurement of ABI with color Doppler ultrasonography was carried out for 206 patients with type 2 diabetes mellitus. An ABI Index less than 0.9 was defined as a predictive marker for atherosclerosis. Microalbuminuria and risk factors of atherosclerosis were compared between the patients categorized based on the ABI values. Results. The mean ABI was 1.1 ± 0.2 (range, 0.052 to 1.6), and 41 (20%) had an abnormal ABI (< 0.9). The correlations were significant between abnormal ABI and duration of disease ( P = .04), cardiovascular event and cardiac care unit admission ( P = .001), hypertension ( P = .01), and dyslipidemia ( P = .01). There was a significant correlation between ABI and microalbuminuria (odds ratio, 0.05; 95% confidence interval, 0.038 to 0.630; P < .001). A cutoff point of an ABI less than or equal to 1.04 had a sensitivity of 71.6% and a specificity of 64.2% for prediction of microalbuminuria. Conclusions. The ABI is a noninvasive and reliable assay for detection of peripheral and cardiovascular complications, and also early stage of nephropathy in diabetic patients. In patients with an abnormal ABI, long-term follow-up for earlier detection and prevention of complications is helpful. |
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| کلیدواژه‌های انگلیسی مقاله |
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| نویسندگان مقاله |
خدیجه مخدومی | khadijeh makhdoomi
افشین محمدی | afshin mohammadi
زهرا یکتا | zahra yekta
محمدرضا آقاسی | mohammad reza aghasi
نادر زمانی | nader zamani
سارا vossughian | sara vossughian
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| نشانی اینترنتی |
http://www.ijkd.org/index.php/ijkd/article/view/849 |
| فایل مقاله |
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| کد مقاله (doi) |
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| زبان مقاله منتشر شده |
en |
| موضوعات مقاله منتشر شده |
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| نوع مقاله منتشر شده |
ORIGINAL | Kidney Diseases |
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