<?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>2312-3893</journal-id>
<journal-title><![CDATA[Revista Virtual de la Sociedad Paraguaya de Medicina Interna]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. virtual Soc. Parag. Med. Int.]]></abbrev-journal-title>
<issn>2312-3893</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Medicina Interna]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2312-38932026000100218</article-id>
<article-id pub-id-type="doi">10.18004/rvspmi/2312-3893/2026.e13122618</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Prevalencia de la enfermedad arterial periférica en pacientes adultos de un centro de atención primaria de Asunción en 2025]]></article-title>
<article-title xml:lang="en"><![CDATA[Prevalence of peripheral arterial disease in adult patients at a primary care centre in Asuncion in 2025]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Figueredo Giménez]]></surname>
<given-names><![CDATA[Karen Edith]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Duarte González]]></surname>
<given-names><![CDATA[Noelia Belén]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Riveros Candia]]></surname>
<given-names><![CDATA[Maira Belén]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Méndez Sanabria]]></surname>
<given-names><![CDATA[Matías Cayetano]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gutiérrez Castro]]></surname>
<given-names><![CDATA[Francisco Isnel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Noguera]]></surname>
<given-names><![CDATA[Emerson]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez Martínez]]></surname>
<given-names><![CDATA[Adison]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Angulo Núñez]]></surname>
<given-names><![CDATA[Marlen Brenda]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Torres González]]></surname>
<given-names><![CDATA[César Enrique]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Ministerio de Salud Pública y Bienestar Social XI Región Sanitaria ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Privada del Este Facultad de Ciencias de la Salud "Prof. Dr. Manuel Riveros" ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2026</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2026</year>
</pub-date>
<volume>13</volume>
<numero>1</numero>
<fpage>218</fpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2312-38932026000100218&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2312-38932026000100218&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2312-38932026000100218&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: el índice tobillo brazo en reposo es un método recomendado para establecer el diagnóstico de enfermedad arterial periférica a nivel de atención primaria debido a que es una prueba sensible, específica, sencilla, rápida e inocua.  Objetivo:  determinar la presencia de enfermedad arterial periférica en pacientes adultos de un centro de atención primaria de Asunción, Paraguay, en 2025.  Metodología: se aplicó un diseño observacional, descriptivo y transversal. Se incluyó a varones y mujeres mayores de edad de la unidad de salud familiar San Cayetano y que aceptaban participar del estudio. El muestro fue no probabilístico, de casos consecutivos. Se midieron variables antropométricas y clínicas. La presión arterial se determinó en los 4 miembros usando un esfigmomanómetro oscilométrico y un ecodoppler portátil.  Resultados:  ingresaron al estudio 66 pacientes: 42 (63,64%) mujeres y 24 (36,36%) varones. La edad media fue 57 ± 15 años. El IMC medio fue 33,54 ± 8,39 k/m2. Las comorbilidades más frecuentes fueron la hipertensión arterial (68,85%), el sedentarismo (46,55%) y la diabetes mellitus (30%). El índice tobillo-brazo menor a 0,9 permitió detectar arteriopatía periférica derecha en 21 sujetos (31,82%) e izquierda en 22 (33,33%). Con la escala de Fontaine se encontró que, entre los afectados, la mayoría era asintomáticos, y que la claudicación de miembros fue referida sólo por 14%.  Conclusión: el índice tobillo-brazo detectó arteriopatía periférica derecha en 31,82% e izquierda en 33,33% de los sujetos adultos de un centro de atención primaria. La mayoría de los afectados no referían claudicación de miembros.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  The ankle-brachial index at rest is a recommended method for diagnosing peripheral arterial disease at the primary care level because it is a sensitive, specific, simple, rapid, and harmless test.  Objective:  To determine the presence of peripheral arterial disease in adult patients at a primary care centre in Asunción, Paraguay, in 2025.  Methodology:  An observational, descriptive, cross-sectional design was used. Adult men and women from the San Cayetano family health unit who agreed to participate in the study were included. The sample was non-probabilistic, consisting of consecutive cases. Anthropometric and clinical variables were measured. Blood pressure was measured in all four limbs using an oscillometric sphygmomanometer and a portable Doppler ultrasound device. Results: Sixty-six patients were included in the study, 42 (63.64%) women and 24 (36.36%) men. The mean age was 57 ± 15 years. The mean BMI was 33.54 ± 8.39 kg/m². The most common comorbidities were high blood pressure (68.85%), sedentary lifestyle (46.55%), and diabetes mellitus (30%). An ankle-brachial index of less than 0.9 allowed the detection of right peripheral artery disease in 21 subjects (31.82%) and left peripheral artery disease in 22 (33.33). Using the Fontaine scale, it was found that most of those affected were asymptomatic, and that limb claudication was reported by only 14%.  Conclusion:  The ankle-brachial index detected right peripheral artery disease in 31.82% and left peripheral artery disease in 33.33% of adult subjects at a primary care centre. The majority of those affected did not report limb claudication.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[enfermedad arterial periférica]]></kwd>
<kwd lng="es"><![CDATA[índice tobillo braquial]]></kwd>
<kwd lng="es"><![CDATA[claudicación intermitente]]></kwd>
<kwd lng="es"><![CDATA[ultrasonografía Doppler de pulso]]></kwd>
<kwd lng="es"><![CDATA[esfigmomanómetros]]></kwd>
<kwd lng="en"><![CDATA[peripheral arterial disease]]></kwd>
<kwd lng="en"><![CDATA[ankle-brachial index]]></kwd>
<kwd lng="en"><![CDATA[intermittent claudication]]></kwd>
<kwd lng="en"><![CDATA[pulse Doppler ultrasonography]]></kwd>
<kwd lng="en"><![CDATA[sphygmomanometers]]></kwd>
</kwd-group>
</article-meta>
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