Cultura

Cardiovascular Risks In Type 2 DM Patients In KSA

VOLUME 22, 2025

The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review

VOLUME 6, 2023

Muna Suliman Alshareef, Rayan Ali Sulaiman, Ibrahim Abdulrahman Alquwaiz, Saud Faez Althobaiti, Hanin Mohammed Mulla, Amani saeed Alghamdi, Mohammad Ali Alamari, Abdulrahman Jamal Aljaber
Abdullah Khalaf Alshammari, Amirah Abdullah Alhasan, Hoda Jehad Abousada, Mohammed Hamoud Alanazi, Nawaf Mohammedsaleh Alrehaili, Ahmed Ghazi Aljuhani, Ziyad Moslh Alsefari

Abstract

Objective: This research aims to systematically review the literature on cardiovascular risk factors and complications associated with individuals diagnosed with Type 2 Diabetes Mellitus (T2DM) in Saudi Arabia. Additionally, the researcher will aim to identify and describe the most prevalent cardiovascular conditions associated with T2DM, such as coronary artery disease, heart failure, and stroke within the Saudi population.

Methods: This study will apply a cross-sectional observational design to examine the prevalence and distribution of cardiovascular risk factors in a population of patients with Type 2 Diabetes Mellitus (T2DM) across several regions of the Kingdom of Saudi Arabia (KSA). A cross-sectional design presents the opportunity to assess variables at one time point, and thereby gives a “snapshot,” of cardiovascular health status in the selected population. 

Results: The study included 357 participants. The most frequent gender among them was male (n = 214, 59.9%) and female (n = 143, 40.0%). The most frequent age group among study participants was 18-29 years (n = 143, 40.1%), followed by 30-39 years (n = 107, 29.9%), and then 40-49 years (n = 72, 20.1%). The most frequent nationality among study participants was Saudi (n = 306, 85.7%), and non-Saudi (n = 51, 14.2%). Participants were asked if they have diabetes. Most of them answered no (n = 309, 86.5%) and yes (n = 48, 13.4%). Diabetes treatment among study participants, with most taking oral medications (n = 26, 54.2%), followed by Insulin (n = 13, 27.1%), then lifestyle modification (n = 8, 16.7%). Participants were asked about the frequency of blood glucose monitoring; most of them Daily (n = 16, 33.3%), followed by monthly (n = 14, 29.2%), then Weekly (n =10, 20.8%). And Rarely (n = 6, 12.5%). Diabetes treatment among study participants, with most taking oral medications (n = 26, 54.2%), followed by Insulin (n = 13, 27.1%), then lifestyle modification (n = 8, 16.7%). Smoking among study participants, with most of them never smoked (n = 219, 61.3%), followed by current smokers (n = 98, 27.4%), then former smokers (n = 40, 11.2%). The most frequent BMI among study participants was normal weight (n = 129, 36.1%), followed by overweight (n = 127, 35.3%), then obesity class I (n = 57, 16%), and obesity class II (n = 18, 5%). Most of them no (n = 277, 77.5%), followed by yes (n = 80, 22.4%), then Weekly (n =10, 20.8%). And Rarely (n = 6, 12.5%).

Conclusion: The study shows significant relationships between Cardiovascular risks in Type 2 DM patients and behavioral factors, including age, gender, BMI, smoking, and experiencing psychological stress.

Keywords : .
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.

Abstract

Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords : Diabetic foot ulcer, angiosome, angioplasty