Additive value of diabetes and peripheral arterial disease in the risk stratification of patients admitted after an acute coronary syndrome: a subanalysis of the PAMISCA Study

Summary Background: There is an increasing interest in the use of non‐invasive methods for the detection of subclinical atherosclerosis to better identify patients with high risk of cardiovascular events The presence of diabetes mellitus (DM) and peripheral arterial disease (PAD) is associated with increased risk of events but their value in the acute coronary syndrome (ACS) patient has not been ascertained. Methods: We performed a subanalysis of the PAMISCA study, designed to investigate the prevalence of PAD in patients admitted to Spanish hospitals with a diagnosis of an ACS. Results: A total of 1410 patients were analysed (71.4% men, age 66 ± 11.9 years, 35% DM). The prevalence of PAD was higher in DM vs. no‐DM (41.5% vs. 30.6% respectively, p