Author(s): Ness J, Aronow WS
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Abstract OBJECTIVE: To investigate the prevalence of coronary artery disease (CAD), ischemic stroke, and peripheral arterial disease (PAD), alone and in combination, in older persons. DESIGN: A retrospective analysis of charts from all older persons seen from April 1, 1998, through December 31, 1998, at an academic hospital-based geriatrics practice. SETTING: An academic hospital-based geriatrics practice staffed by fellows in a geriatrics training program and full-time faculty geriatricians. PATIENTS: A total of 474 men and 1328 women, mean age 80 +/- 9 years (range 60 to 102 years) were included in the study. MEASUREMENTS AND MAIN RESULTS: Of 1802 persons studied, 612 (34\%) had CAD, 351 (19\%) had ischemic stroke, 236 (13\%) had PAD, and 816 (45\%) had either CAD, stroke, or PAD. Three hundred twenty-eight (18\%) of the 1802 persons had CAD alone, 128 (7\%) had stroke alone, 50 (3\%) had PAD alone, 123 (7\%) had CAD + stroke and no PAD, 86 (5\%) had CAD + PAD and no stroke, 25 (1\%) had PAD + stroke and no CAD, 75 (4\%) had CAD + stroke + PAD, and 986 (55\%) had no CAD, PAD, or stroke. If CAD was present, coexistent PAD was present in 26\% and coexistent stroke in 32\% of persons studied. If stroke was present, coexistent CAD was present in 56\% and coexistent PAD in 28\%. If PAD was present, coexistent CAD was present in 68\% and coexistent stroke in 42\% of persons studied. CONCLUSIONS: These data showed that if CAD was present, ischemic stroke was also present in 32\% and PAD in 26\% of the population. If ischemic stroke was present, CAD was also present in 56\% and PAD in 28\% of the population. If PAD was present, CAD was also present in 68\% and ischemic stroke in 42\% of the population.
This article was published in J Am Geriatr Soc
and referenced in Journal of Addiction Research & Therapy