Journal of Vascular Surgery
Volume 49, Issue 6 , Pages 1465-1471 , June 2009

Concomitant coronary and peripheral arterial disease: Relationship between the inflammatory status of the affected limb and the severity of coronary artery disease

  • Gregorio Brevetti, MD

      Affiliations

    • Departments of Clinical Medicine, Cardiovascular, and Immunological Sciences, University of Naples “Federico II”, Naples, Italy
    • Corresponding Author InformationReprint requests: Gregorio Brevetti, MD, Via G. Iannelli 45/A, I-80131 Napoli, Italy
  • ,
  • Federico Piscione, MD

      Affiliations

    • Departments of Clinical Medicine, Cardiovascular, and Immunological Sciences, University of Naples “Federico II”, Naples, Italy
  • ,
  • Vittorio Schiano, MD

      Affiliations

    • Departments of Clinical Medicine, Cardiovascular, and Immunological Sciences, University of Naples “Federico II”, Naples, Italy
  • ,
  • Gennaro Galasso, MD

      Affiliations

    • Departments of Clinical Medicine, Cardiovascular, and Immunological Sciences, University of Naples “Federico II”, Naples, Italy
  • ,
  • Francesco Scopacasa, PhD

      Affiliations

    • Department of Laboratory Medicine, University of Naples “Federico II”, Naples, Italy
  • ,
  • Massimo Chiariello, MD

      Affiliations

    • Departments of Clinical Medicine, Cardiovascular, and Immunological Sciences, University of Naples “Federico II”, Naples, Italy

Received 7 January 2009 ,Accepted 9 February 2009.

  • Image Result

    Venous-arterial differences in neutrophil myeloperoxidase (MPOx) content (A) and interleukin-6 (IL-6) (B) across femoral, coronary, and upper limb vascular beds. Data are expressed as medians, with 25

    Venous-arterial differences in neutrophil myeloperoxidase (MPOx) content (A) and interleukin-6 (IL-6) (B) across femoral, coronary, and upper limb vascular beds. Data are expressed as medians, with 25th and 75th percentiles (boxes), and 10th and 90th percentiles (bars). In the coronary artery disease + peripheral arterial disease (CAD+PAD) group, the differences in MPOx content and IL-6 across the femoral circulation of the affected leg were significantly greater than that across the coronary circulation and the circulation of the upper limb. They were also greater than that across the femoral circulation of the healthy leg of CAD patients without PAD.

  • Image Result
    Coronary artery disease (CAD) severity in CAD-alone patients, and in the coronary artery disease + peripheral arterial disease (CAD+PAD) patients divided according to the median value of the transfemo

    Coronary artery disease (CAD) severity in CAD-alone patients, and in the coronary artery disease + peripheral arterial disease (CAD+PAD) patients divided according to the median value of the transfemoral neutrophil myeloperoxidase (MPOx) content. Data concerning continuous variables (coronary artery endothelial function [CAEF] and number of significant coronary artery stenoses) are expressed as median (10th, 25th, 75th, and 90th percentile) while categorical variables (three-vessel CAD and previous myocardial infarction [MI]) as number of patients (%).

  • Image Result
    Coronary artery disease (CAD) severity in CAD-alone patients, and in the coronary artery disease + peripheral arterial disease (CAD+PAD) patients divided according to the median value of the venous-ar

    Coronary artery disease (CAD) severity in CAD-alone patients, and in the coronary artery disease + peripheral arterial disease (CAD+PAD) patients divided according to the median value of the venous-arterial difference in interleukin-6 (IL-6) plasma levels across the femoral circulation of the affected limb. Data concerning continuous variables (coronary artery endothelial function [CAEF] and number of significant coronary artery stenoses) are expressed as median (10th, 25th, 75th, and 90th percentile) while categorical variables (three-vessel CAD and previous myocardial infarction [MI]) as number of patients (%).

 Competition of interest: none.

PII: S0741-5214(09)00240-7

doi: 10.1016/j.jvs.2009.02.008

Journal of Vascular Surgery
Volume 49, Issue 6 , Pages 1465-1471 , June 2009