Coronary artery disease (CAD) and lower extremity artery disease (LEAD) often coexist, with the ankle-brachial index (ABI) being a predictor of CAD. This study assessed the severity and localization of LEAD using duplex ultrasound (DUS) in 637 subjects with confirmed CAD, finding a significant association between high SYNTAX score (SS) and LEAD, particularly in the femoropopliteal segment. The study highlights the high prevalence of asymptomatic LEAD and the need for point-of-care DUS (POCUS) to guide treatment. It is the largest study from the Indian subcontinent that used DUS for LEAD assessment in relation to CAD.
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