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 EVALUATION OF THE EFFECTIVE RISK FACTORS FOR PERIPHERAL VASCULAR DISEASE IN HEMODIALYSIS PATIENTS   KHademVatan K[1], Rahmani AR[2]*, Ghasemi S[3], Ahangary H [4], Mehrpooya M[5]  Received: 5 Jul , 2014 Accepted: 3 Sep , 2014  Abstract  Background & aims:  Peripheral Vascular Disease (PVD) constitutes an important part of Chronic Renal Failure (CRF) complications leading to amputation and similar surgical operations it also precipitates some disabilities for patients, despite the presence of cardiovascular risk factors such as hypertension, diabetes mellitus, aging, smoking and hyperlipidemia in CRF patients. Even with the removal of these factors, there is an independent and definite association between PVD and CRF.  Measurement of Ankle-Brachial Index (ABI) is a simple and noninvasive method which can be used for diagnosing PVD in outpatient centers. In such centers, by detecting the renal failure, the subclinical cases can be diagnosed effectively later on these groups would have more benefits from treatment and educational interventions.  Materials & Methods:  All of the patients referred to Urmia Taleghani university hospital and the equal number of them from cardiac and medical wards of the same hospital were chosen as case and control groups which totally formed the study population, and then the researcher has made the subjects to fill the questionnaires. For this reason the ABI of each patient were measured and included in questionnaires. A German made Richter mercury manometer used for blood pressure measurement. Then the completed questionnaires were collected and the abundance and relative abundance indices are presented in tables and graphs.  Results: The total study population were 386 people (193 hemodialysis and 193 control patients), the collected data were processed and analyzed by SPSS software version 18, and after determination of central and dispersion indices, the comparison of Means by independent T , comparison of proportions by chi-square and determination of relationship by Pearson Correlation Coefficient tests were carried out. The following results were obtained: Mean age of the samples was 55.27       17.17 which minimum 3 and maximum 88 years old, %54 male and %46 females, %19.2 had a history of diabetes, %35.5 were hypertensive, %6.2 had hypercholesterolemia and %23.8 had hypertriglyceridemia, %3 had a history of CVA, %26.7 had CAD and %23.1 of them were smokers. The obtained results also showed that %15 of the study population had PVD.  Conclusion: According to the results of this study we suggest that ABI measurement must consider as an important indicator in routine examinations of the doctors.  Paying more attention to the blood pressure, lipid profiles in monthly visits of the patients, and if there is any distribution in the above mentioned indicators, appropriate medical decision making must be done to avoid complications of PVD in these patients.  Keywords: chronic renal failure, peripheral vascular disease, hemodialysis patient  Address: Faculty of Nursing and Midwifery, University of Medical Sciences, Urmia, Iran   Tel: (+98)4432754961   Email: alirezarahmani2003@yahoo.com    [1]Cardiologist, Echocardiography fellowship, Associate Professor Urmia University of Medical Sciences, Urmia, Iran   [2] Master of Nursing, Lecturer, School of Nursing and Midwifery, University of Medical Sciences, Urmia, Iran (Corresponding Author)  [3]Bachelor of Nursing, Urmia University of Medical Sciences, Urmia, Iran  [4] General practitioner, Urmia University of Medical Sciences, Urmia, Iran  [5] Cardiologist, Assistant Professor, Imam Khomeini, Tehran University of Medical Sciences, Tehran, Iran  

Keywords: chronic renal failure, peripheral vascular disease, hemodialysis patient

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