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THE PREVALENCE OF PAD IS MUCH HIGHER IN OLDER WOMEN THAN MEN

Author Block D Armstrong, U Jurt, D Brouillard, M Matangi

Kingston, Ontario

Abstract:
BACKGROUND: The purpose of our study was to assess the prevalence of PAD in men and women.
METHODS: Patients undergoing PAD testing were considered. Only patients with all 4 ABIs and both TBIs recorded were included for analysis. An ABI <0.90 was considered abnormal for the diagnosis of PAD. Patients were divided into those RESULTS: There were 980 females and 1829 males for determination of prevalence calculations. The overall prevalence in women was 273/980 (27.9%) and in men 390/1829 (21.3%), P<0.0005. For those patients
Table 1.
  Female Male P value
Femoral bruit (Y/N) 142/460 322/1090 NS
Claudication (Y/N) 210/392 501/911 NS
Statin (Y/N) 463/139 923/489 <0.0001
Smoker (Y/N) 204/398 406/1006 <0.05
Hypertension (Y/N) 459/143 962/450 NS
Dyslipidemia (Y/N) 459/143 1066/346 NS
Diabetes (Y/N) 209/393 391/1021 <0.005
ACE Inhibitor(Y/N) 292/310 593/819 <0.01
Aspirin (Y/N) 446/156 961/451 <0.01

CONCLUSION: We investigate more men for PAD than we do women, despite an overall increase in prevalence of PAD in women. The reasons for this discrepancy are unclear but this data is consistent with other data indicating that women are much less likely to be investigated than men for all cardiovascular diseases.