1Department of Internal Medicine, Ditmanson Medical Foundation Chiayi Christian Hospital, Taiwan.
Angiology. 2014 May;65(5):396-401. doi: 10.1177/0003319713480842. Epub 2013 Mar 18.
We determined the prevalence of asymptomatic peripheral arterial disease (PAD) and cardiovascular risk factors in Taiwan. Ambulatory participants (n = 1915) without symptoms of PAD were enrolled (mean age of 61.2 years). The ankle-brachial index (ABI) was used to detect the PAD (ABI < 0.90). The overall prevalence of asymptomatic PAD was 5.4% (2.8% in the younger participants [<65 years of age, n = 1021] and 8.4% in the elderly participants [≥65 years of age, n = 894]). Younger participants with asymptomatic PAD had a significantly higher rate of hypertension (55.2% vs 30%) and obesity (31% vs 13.3%) than those without asymptomatic PAD (P < .05). Elderly participants with asymptomatic PAD had a significantly higher rate of diabetes mellitus (36% vs 21.2%) and hypertension (69.3% vs 55.4%) than those without asymptomatic PAD (P < .05). Asymptomatic PAD is prevalent among elderly Taiwanese individuals. Overall, age was the strongest risk factor for the development of asymptomatic PAD.
我们确定了台湾无症状外周动脉疾病（PAD）和心血管危险因素的患病率。招募了无 PAD 症状的门诊参与者（n = 1915）（平均年龄 61.2 岁）。使用踝臂指数（ABI）来检测 PAD（ABI < 0.90）。无症状 PAD 的总体患病率为 5.4%（年轻参与者中为 2.8%[<65 岁，n = 1021]，老年参与者中为 8.4%[≥65 岁，n = 894]）。患有无症状 PAD 的年轻参与者的高血压（55.2%比 30%）和肥胖（31%比 13.3%）的发生率明显高于无无症状 PAD 的参与者（P<.05）。患有无症状 PAD 的老年参与者的糖尿病（36%比 21.2%）和高血压（69.3%比 55.4%）的发生率明显高于无无症状 PAD 的参与者（P<.05）。无症状 PAD 在老年台湾人中较为普遍。总体而言，年龄是无症状 PAD 发展的最强危险因素。
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