<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1012-2966</journal-id>
<journal-title><![CDATA[Gaceta Médica Boliviana]]></journal-title>
<abbrev-journal-title><![CDATA[Gac Med Bol]]></abbrev-journal-title>
<issn>1012-2966</issn>
<publisher>
<publisher-name><![CDATA[Facultad de Medicina de la Universidad Mayor de San Simón]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1012-29662021000200162</article-id>
<article-id pub-id-type="doi">10.47993/gmb.v44i2.287</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Índice Tobillo-Brazo como Determinante de Enfermedad Arterial Obstructiva Periférica en Adultos Mayores]]></article-title>
<article-title xml:lang="en"><![CDATA[Ankle-Brachial Index as a Determinant of Peripheral Obstructive Arterial Disease in Older Adults]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Antezana-Llaveta]]></surname>
<given-names><![CDATA[Gabriela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ayala-Elías]]></surname>
<given-names><![CDATA[Zeila]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Velásquez-Castaños]]></surname>
<given-names><![CDATA[María Reneé]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Mayor de San Simón Facultad de Medicina ]]></institution>
<addr-line><![CDATA[Cochabamba ]]></addr-line>
<country>Bolivia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Servicio Social de Salud Rural Obligatorio (S.S.S.R.O.).  ]]></institution>
<addr-line><![CDATA[Cochabamba ]]></addr-line>
<country>Bolivia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Centro de Salud Capacachi  ]]></institution>
<addr-line><![CDATA[Cochabamba ]]></addr-line>
<country>Bolivia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2021</year>
</pub-date>
<volume>44</volume>
<numero>2</numero>
<fpage>162</fpage>
<lpage>166</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_arttext&amp;pid=S1012-29662021000200162&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_abstract&amp;pid=S1012-29662021000200162&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_pdf&amp;pid=S1012-29662021000200162&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen La enfermedad arterial obstructiva periférica es una entidad clínica íntimamente relacionada con patologías frecuentes en nuestro medio, que no identificada ni tratada de forma temprana puede originar graves complicaciones entre ellas la aparición de ulceras crónicas, claudicación intermitente y la amputación. La medida del índice tobillo-brazo mediante ecodoppler portátil es una técnica no invasiva, rápida, simple, fiable de gran interés que ofrece una sensibilidad y especificidad elevada para diagnosticar esta enfermedad.  Objetivos:  el presente estudio pretende conocer la prevalencia de enfermedad arterial obstructiva periférica determinado por el índice tobillo-brazo en los adultos mayores de 60 años que acuden al Centro de salud Capacachi, del 01 de octubre al 31 de diciembre de la gestión 2020.  Métodos:  se realizó un estudio de tipo descriptivo, transversal y prospectivo; se calculó el índice tobillo-brazo a 176 pacientes mayores de 60 años, se excluyó a pacientes con trombosis venosa profunda y/o superficial, flebitis, linfangitis, con heridas abiertas en la zona de colocación de transductor del ecodoppler, que hayan sido sometidos a revascularización arterial periférica o pacientes que tomen anticoagulantes o antiagregantes plaquetarios.  Resultados:  de los 176 pacientes estudiados, 73 pacientes presentaron un índice tobillo-brazo &lt;0,9 y por tanto presentan la enfermedad. Se obtuvo una prevalencia de enfermedad arterial obstructiva periférica de 41,48%.  Conclusiones:  el estudio estableció que el índice tobillo-brazo es útil como método de screening para diagnosticar la enfermedad arterial obstructiva periférica en centros de atención de primer nivel, este nos permite realizar una prevención secundaria a un bajo costo y de forma incruenta.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Peripheral obstructive arterial disease is a clinical entity closely related to frequent pathologies in our environment, which if not identified and treated early can cause serious complications including the development of chronic ulcers, intermittent claudication and amputation. The measurement of the ankle-brachial index by portable Doppler ultrasound is a non-invasive, fast, simple, reliable technique of great interest that offers high sensitivity and specificity to diagnose this disease.  Objectives:  the present study aims to determine the prevalence of peripheral obstructive arterial disease as determined by the ankle-brachial index in adults over 60 years of age attending the Capacachi Health Center, from October 1 to December 31, 2020.  Methods:  a descriptive, cross-sectional and prospective study was carried out; the ankle-brachial index was calculated in 176 patients over 60 years of age; patients with deep and/or superficial venous thrombosis, phlebitis, lymphangitis, with open wounds in the area where the echo-Doppler transducer was placed, who had undergone peripheral arterial revascularization or patients taking anticoagulants or antiplatelet agents were excluded.  Results:  of the 176 patients studied, 73 patients had an ankle-brachial index &lt;0.9 and therefore had the disease. The prevalence of peripheral obstructive arterial disease was 41.48%.  Conclusions:  the study established that the ankle-brachial index is useful as a screening method to diagnose peripheral obstructive arterial disease in primary care centers, allowing us to perform secondary prevention at a low cost and in a bloodless manner.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[enfermedad arterial periférica]]></kwd>
<kwd lng="es"><![CDATA[índice tobillo-brazo]]></kwd>
<kwd lng="es"><![CDATA[prevalencia]]></kwd>
<kwd lng="es"><![CDATA[screening]]></kwd>
<kwd lng="en"><![CDATA[peripheral artery disease]]></kwd>
<kwd lng="en"><![CDATA[ankle-brachial index]]></kwd>
<kwd lng="en"><![CDATA[prevalence]]></kwd>
<kwd lng="en"><![CDATA[screening]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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