®Æc ®iÓm l©m sµng, cËn l©m sµng
vµ ®iÒu trÞ can thiÖp bÖnh ®éng m¹ch
chi d- íi m¹n tÝnh T¹i bÖnh viÖn 103
TrÇn §øc Hïng, NguyÔn ThÞ Kim Ng©n, NguyÔn Tµi Quang.
BÖnh viÖn 103 - HVQY
§Æt vÊn ®Ò
§Æt vÊn ®Ò
C¸c bÖnh Tim m¹ch th- êng lµ nguyªn nh©n chñ yÕu dÉn ®Õn tö
vong ë c¸c n- íc c«ng nghiÖp, trong ®ã c¸c bÖnh lý vÒ §M lý
rÊt phæ biÕn: bÖnh m¹ch vµnh vµ m¹ch n·o vµ bÖnh §M ngo¹i
biªn.
Circulation. 2004;110:738-743
§Æt vÊn ®Ò
BÖnh §M chi d- íi lµ bÖnh lý phæ biÕn nhÊt trong nhãm bÖnh
§M ngo¹i biªn. T¹i Mü, cã kho¶ng 8,4 triÖu ng- êi m¾c.
BÖnh §M chi d- íi m¹n tÝnh cã nguyªn nh©n phæ biÕn nhÊt lµ
do m¶ng v÷a x¬ ph¸t triÓn g©y hÑp dÇn hoÆc t¾c nghÏn hoµn
toµn lßng m¹ch gi¶m t- íi m¸u chi khi vËn ®éng hoÆc khi
nghØ.
Circulation. 2004;110:738-743
0% 5% 10% 15% 20% 25% 30% 35%
29%
11.7%
19.8%
19.1%
14.5%
4.3%
Tû lÖ bÖnh ®m ngo¹i vi
PARTNERS5
Aged >70 years, or 50–69 years with a history diabetes or smoking
San Diego2
Mean age 66 years
Diehm4
Aged 65 years
Rotterdam3
Aged >55 years
NHANES1
Aged 70 years
NHANES1
Aged >40 years
NHANES=National Health and Nutrition Examination Study;
PARTNERS=PAD Awareness, Risk, and Treatment: New Resources for Survival [program].
1. Selvin E, Erlinger TP. Circulation. 2004;110:738-743.
2. Criqui MH, et al. Circulation. 1985;71:510-515.
3. Diehm C, et al. Atherosclerosis. 2004;172:95-105.
4. Meijer WT, et al. Arterioscler Thromb Vasc Biol. 1998;18:185-192.
5. Hirsch AT, et al. JAMA. 2001;286:1317-1324.
In a primary care
population defined by age
and common risk factors,
the prevalence of PAD
was approximately one in
three patients