%0 Journal Article
%T Lower Extremity Arterial Disease in Patients with Type 2 Diabetes: Prevalence and Associated Factors at the Libreville University Hospital Center
%A Allognon Mahutondji Christian
%A Ayo Bivigou Elsa
%A Ntoutoume Mv&#233
%A Dylan Anthony
%A N&#8217
%A nang Jean-Fidel
%A Kinga Armel
%A Mpori Jamila Myrtille
%A Akagah Kond&#233
%A Christelle
%A Ndoume Obiang Francis
%A Y&#233
%A kini Carole Fadylath
%A Ndjibah Alakoua Cajole Ludvine
%A Babongui Boussougou Latifah
%A Mipinda Jean-Bruno
%A Moubamba Franck
%A Ecke Nzengue Jean-Emmanuel
%A Houenassi D&#232
%A donougbo Martin
%A Boguikouma Jean-Bruno
%J World Journal of Cardiovascular Diseases
%P 295-308
%@ 2164-5337
%D 2024
%I Scientific Research Publishing
%R 10.4236/wjcd.2024.145024
%X <b>Introduction</b>: Lower extremity arterial disease in diabetic patients has distinct characteristics. <b>Objectives</b>: To study the hospital frequency of lower extremity arterial disease and identify associated factors in diabetic patients at the Libreville University Hospital Center (CHUL). <b>Materials and Methods</b>: This was a cross-sectional study conducted from July 1, 2023, to January 31, 2024, in the endocrinology department of the CHUL. All patients with type 2 diabetes over the age of 18 admitted to this department, regardless of the reason for hospitalization, who provided informed consent, were included. Socio-demographic data and cardiovascular risk factors were recorded. Personal and family cardiovascular history and functional symptoms were investigated. The physical examination included measuring blood pressure, heart rate, and the ankle-brachial index in all patients. <b>Results</b>: A total of 219 patients were included, of whom 75 had lower extremity arterial disease, representing a prevalence of 34.24%. It was compensated in 28 cases (37.33%) and decompensated in 39 patients (52%). In eight cases (10.67%), there was critical chronic ischemia. Cardiovascular risk factors associated with diabetes were physical inactivity (89.5%), hypertension (55.25%), overweight (49.77%), obesity (22.84%), and smoking (10.04%). In multivariate analysis, only hypertension (OR = 2.09; 95% CI: 1.05 - 4.17; p = 0.035) and LDL cholesterol (OR = 2.75; 95% CI: 1.10 - 6.85; p = 0.03) were significantly associated with lower extremity arterial disease in diabetics at the University Hospital of Libreville. <b>Conclusion</b>: Lower extremity arterial disease is common in diabetic patients at the University Hospital of Libreville. It is often asymptomatic, thus requiring systematic screening.[-rId11-]
%K Lower Extremity Arterial Disease
%K Diabetes
%K Hypertension
%K Ankle-Brachial Index
%K Gabon
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=133193