Peripheral Artery Disease and Aortic Disease

Michael H. Criqui*, Victor Aboyans, Matthew A. Allison, Julie O. Denenberg, Nketi Forbang, Mary M. McDermott, Christina L. Wassel, Nathan D. Wong

*Corresponding author for this work

Research output: Contribution to journalReview article

2 Scopus citations

Abstract

We reviewed published MESA (Multi-Ethnic Study of Atherosclerosis) study articles concerning peripheral arterial disease, subclavian stenosis (SS), abdominal aortic calcium (AAC), and thoracic artery calcium (TAC). Important findings include, compared to non-Hispanic whites, lower ankle-brachial index (ABI) and more SS in African Americans, and higher ABI and less SS in Hispanic and Chinese Americans. Abnormal ABI and brachial pressure differences were associated with other subclinical cardiovascular disease (CVD) measures. Both very high and low ABI independently predicted increased CVD events. Looking at aortic measures, TAC and AAC were significantly associated with other subclinical CVD measures. Comparisons of AAC with coronary artery calcium (CAC) showed that both were less common in ethnic minority groups. However, although CAC was much more common in men than in women in multivariable analysis, this was not true of AAC. Also, when AAC and CAC were adjusted for each other in multivariable analysis, there was a stronger association for AAC than for CAC with CVD and total mortality.

Original languageEnglish (US)
Pages (from-to)313-326
Number of pages14
JournalGlobal heart
Volume11
Issue number3
DOIs
StatePublished - Sep 1 2016

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ASJC Scopus subject areas

  • Epidemiology
  • Community and Home Care
  • Cardiology and Cardiovascular Medicine

Cite this

Criqui, M. H., Aboyans, V., Allison, M. A., Denenberg, J. O., Forbang, N., McDermott, M. M., Wassel, C. L., & Wong, N. D. (2016). Peripheral Artery Disease and Aortic Disease. Global heart, 11(3), 313-326. https://doi.org/10.1016/j.gheart.2016.08.005