Editorial
Abdominal Aortic Aneurysms, Peripheral Arterial Disease, and Carotid Artery Stenosis: Different Sides of the Same Coin?
Angiology 1-2 ª The Author(s) 2015 Reprints and permission: sagepub.com/journalsPermissions.nav DOI: 10.1177/0003319715594932 ang.sagepub.com
Kosmas I. Paraskevas, MD, PhD1, Ian M. Nordon, MD, FRCS1, Stephen J. Baxter, MB, ChB, FCS1, Clifford P. Shearman, MS, FRCS1, and Mike J. Phillips, MS, FRCS1
In this issue of Angiology, Gray et al assessed the prevalence of carotid artery stenosis (CAS) and peripheral arterial disease (PAD) in patients with abdominal aortic aneurysms (AAAs)1; 30.4% of patients with AAA had concomitant CAS and 45.3% had PAD (resting ankle–brachial pressure index [ABPI] 50%) used to define ‘‘significant’’ carotid atherosclerosis.19 It was argued that severe carotid atherosclerosis is indeed a predictor of concomitant arterial disease in other vascular beds, whereas this does not apply to moderate forms of the disease.19 Specific factors may lead to the development of vascular disease in 1 vascular territory rather than in another. Crosssectional data from the National Health and Nutrition Examinations Surveys 1999 to 2004 were pooled (total 7550 patients). Active smoking was more common among patients with PAD (30.0% vs 23.9%, respectively; P ¼ .02), whereas hyperlipidemia was more prevalent among patients with coronary heart disease (CHD; 68.4% vs 54.0%, respectively; P < .001).20 The CHD was more prevalent than PAD in whites (84.6% vs 76.6%, respectively; P ¼ .001), whereas the opposite was true for blacks (6.7% vs 15.9%, respectively; P < .001). An increased risk of CHD was observed only with very low (
Abdominal Aortic Aneurysms, Peripheral Arterial Disease, and Carotid Artery Stenosis: Different Sides of the Same Coin?
Angiology 1-2 ª The Author(s) 2015 Reprints and permission: sagepub.com/journalsPermissions.nav DOI: 10.1177/0003319715594932 ang.sagepub.com
Kosmas I. Paraskevas, MD, PhD1, Ian M. Nordon, MD, FRCS1, Stephen J. Baxter, MB, ChB, FCS1, Clifford P. Shearman, MS, FRCS1, and Mike J. Phillips, MS, FRCS1
In this issue of Angiology, Gray et al assessed the prevalence of carotid artery stenosis (CAS) and peripheral arterial disease (PAD) in patients with abdominal aortic aneurysms (AAAs)1; 30.4% of patients with AAA had concomitant CAS and 45.3% had PAD (resting ankle–brachial pressure index [ABPI] 50%) used to define ‘‘significant’’ carotid atherosclerosis.19 It was argued that severe carotid atherosclerosis is indeed a predictor of concomitant arterial disease in other vascular beds, whereas this does not apply to moderate forms of the disease.19 Specific factors may lead to the development of vascular disease in 1 vascular territory rather than in another. Crosssectional data from the National Health and Nutrition Examinations Surveys 1999 to 2004 were pooled (total 7550 patients). Active smoking was more common among patients with PAD (30.0% vs 23.9%, respectively; P ¼ .02), whereas hyperlipidemia was more prevalent among patients with coronary heart disease (CHD; 68.4% vs 54.0%, respectively; P < .001).20 The CHD was more prevalent than PAD in whites (84.6% vs 76.6%, respectively; P ¼ .001), whereas the opposite was true for blacks (6.7% vs 15.9%, respectively; P < .001). An increased risk of CHD was observed only with very low (
