Abstract Objective To study the relationship between carotid intima- media thickness and ankle- brachial index (ABI) in elderly patients with multiple cardiovascular risk factors (RFs). Methods 160 elderly patients with multiple car-diovascular RFs were divided into 3 groups based on the numbers of RFs and compared with 30 healthy subjects. ABI measurements and carotid ultrasonography were performed. Blood lipid and glucose were measured. Results ABI was significantly lower in patients than in healthy subjects (0.85 ±0.28 vs 1.19 ±0.25,P<0.01). ABI decreased and IMT in-creased as RFs increased. ABI was negatively correlated with IMT (r=- 0.35,P<0.05). Conclusion ABI can be used to evaluate atherosclerosis in elderly patients with multiple cardiovascular RFs.
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