Integrating Toe Brachial Index and longitudinal strain echocardiography for detecting coronary artery disease in patients with diabetic foot syndrome

• Published in: International wound journal 2024-08, Vol.21 (8), p.e70026-n/a
• Main Authors: Moayerifar, Mani, Moayerifar, Maziar, Mirdamadi, Arian, Gholipour, Mahboobeh, Ashoobi, Mohammad Taghi, Hemmati, Hosein, Yazdanipour, Mohammad Ali, Radmoghadam, Mahsa, Ghasemzadeh, Golshan
• Format: Article
• Language: English
• Subjects: Aged; Ankle Brachial Index; Ankle Brachial Index - methods; coronary artery disease; Coronary Artery Disease - complications; Coronary Artery Disease - diagnostic imaging; Cross-Sectional Studies; diabetic foot; Diabetic Foot - diagnostic imaging; echocardiography; Echocardiography - methods; Female; Humans; Male; Middle Aged; Original; peripheral arterial disease; ROC Curve; Sensitivity and Specificity
• ISSN: 1742-4801; 1742-481X; 1742-481X
• DOI: 10.1111/iwj.70026

Coronary artery disease (CAD) is a common problem amongst diabetic foot syndrome (DFS) patients, associated with peripheral arterial disease. This analytic cross‐sectional study investigates the diagnostic efficacy of the Toe Brachial Index (TBI) in the detection of CAD in 62 DFS patients. The presence of CAD was assessed by longitudinal strain echocardiography, a sensitive method that provides a more accurate measure of intrinsic left ventricular contractility than left ventricular ejection fraction, especially in diabetic patients. Univariate and multivariate logistic regression identified CAD‐associated factors. Receiver operating characteristic curve evaluated TBI and toe pressure's diagnostic performance for CAD. p‐Values