High Prevalence of Abdominal Aortic Aneurysm in Patients with Three-vessel Coronary Artery Disease

Durieux, Rodolphe; Damme, Hendrik Van; Labropoulos, Nicos; Yazıcı, Ayşe Canan; Legrand, Victor; Albert, Adelin; Jo, Defraigne; Sakalihasan, Natzi

doi:10.1016/j.ejvs.2013.12.011

Cited by 64 publications

(58 citation statements)

References 32 publications

(13 reference statements)

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“…MetS is a significant risk factor for high arterial stiffness 18,19) , although it is unclear if all MetS traits are related to increased arterial stiffness. In addition, as many previous reports have shown, men often display a higher prevalence of arteriosclerosis than women 20,21) , as men more frequently suffer from higher rates of risk factors. For this reason, researchers often focus more on the prevalence of risk factors and thus neglect to notice differences in the actual effects of specific risk factors on high arterial stiffness between the genders.…”

Section: Definitionmentioning

confidence: 77%

Prevalence of High Arterial Stiffness and Gender-specific Differences in the Relationships with Classical Cardiovascular Risk Factors

Wen

Peng

Tang

et al. 2015

JAT

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Aim:To investigate the relationships between arterial stiffness and classic cardiovascular risk factors with respect to gender differences in addition to the prevalence of high arterial stiffness in Chongqing, China based on an examination of 18,336 subjects. Methods: The cardio-ankle vascular index was used as a marker of arterial stiffness. The relationships between arterial stiffness and body mass index (BMI) as well as metabolic syndrome (MetS) were estimated using logistic regression models. Results: The prevalence of high arterial stiffness was 12.74% in men and 9.91% in women. For age and BMI, compared with the reference group, men had higher adjusted odds ratios (ORs) in each group versus their female counterparts. For each individual index of MetS, the effects of waist circumference and systolic blood pressure (SBP) on high arterial stiffness exhibited remarkable gender differences, with women having higher ORs and adjusted ORs than men. As the sum of MetS traits increased, the ORs and adjusted ORs in the subjects also increased, with women having higher values than men in each group. Conclusions: Gender-specific differences exist in the prevalence of high arterial stiffness among subjects compared by age, BMI and MetS, with varying effects of influence for these factors between genders.J Atheroscler Thromb, 2015; 22: 706-717.

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Section: Definitionmentioning

confidence: 77%

Prevalence of High Arterial Stiffness and Gender-specific Differences in the Relationships with Classical Cardiovascular Risk Factors

Wen

Peng

Tang

et al. 2015

JAT

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“…Recently, it has been advocated that AAA is frequently associated with coronary artery disease (CAD) or peripheral artery disease (PAD) because systemic atherosclerosis can affect all arterial segments of the vascular system. 20,21) Thus, the critical issue is…”

Section: Disclosure Statementmentioning

confidence: 99%

Influencing Factors for Abdominal Aortic Aneurysm Sac Shrinkage and Enlargement after EVAR: Clinical Reviews before Introduction of Preoperative Coil Embolization

Chikazawa¹,

Hiraoka²,

Totsugawa³

et al. 2014

Annals of Vascular Diseases

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Background:We previously reported effectiveness of coil embolization (CE) to aortic branched vessels before endovascular aortic repair (EVAR) for abdominal aortic aneurysm (AAA) because of significant shrinkage of aneurysmal sac. In this study, we investigated EVAR cases to clarify influential factors of aneurysmal shrinkage and enlargement. Methods: 148 consecutive cases before the introduction of CE were retrospectively reviewed based on the presence of PT2EL (persistent type 2 endoleak) and change in sac diameter after EVAR by multivariate analysis. Results: (A) PT2EL risk factors were patent inferior mesenteric artery (IMA) and thinner mural thrombus inside aneurysmal sac. (B) Sac enlargement risk factors were antiplatelet intake, PT2EL, and female gender. (C) Sac shrinkage predictive factors were the absences of thoracic aortic aneurysm, antiplatelet intake, PT2EL, and coronary artery disease. Conclusion: CE to IMA was considered to be effective because patent IMA and antiplatelet intake were significant risk factors for sac enlargement. So, more meticulous therapeutic strategy, including treatment priority (AAA first or CAD first) and choice of treatment (EVAR vs. AAA) based on anatomical features of AAA was required to improve late outcomes.

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“…Smoking is the main risk factor, which explain about 3 out of 4 cases. Having a previous CVD is suggested to be an important risk marker [15, 16], due to shared risk factors between AAA and CVD. The association with more CVD risk factors and with CVD history suggests to use the same risk assessment tool used for major CVD, like CVD risk scores.…”

Section: Discussionmentioning

confidence: 99%

“…The main risk factors found associated with AAA are age, sex, smoking, hypertension and family history of AAA, as well as previous cardiovascular diseases (CVD) [15, 16]. For this reason, the use of standard CVD risk score as well as the presence of a previous CVD could be useful to select subgroups at higher risk to screen for AAA.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of abdominal aortic aneurysms and its relation with cardiovascular risk stratification: protocol of the Risk of Cardiovascular diseases and abdominal aortic Aneurysm in Varese (RoCAV) population based study

Gianfagna

Veronesi

Bertù

et al. 2016

BMC Cardiovasc Disord

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BackgroundRecent meta-analyses suggested that screening program for abdominal aortic aneurysms (AAA) in 65-year old males is cost-effective at prevalence of about 1%. Since some events occur also in females and among the youngers, screening could be feasible among those at higher risk, such as smokers or individuals with a family history of AAA. The RoCAV (Risk of Cardiovascular diseases and abdominal aortic Aneurysms in Varese) Project is a population-based study aimed to evaluate AAA prevalence in Northern Italy in males over-65 years as well as among females and younger males, and to identify new markers for risk stratification by collecting a large set of CVD risk factors. The aims of the project are: (i) cross-sectional evaluation of AAA prevalence (ii); evaluation of standard CVD risk score as criteria for selecting subgroup at higher risk to be included in a screening program; (iii) identification of new risk markers and risk score algorithm for AAA and CVD risk stratification; (iv) cost-effective evaluation during the follow-up.MethodsMales aged 50–75 years and females aged 60–75 years, resident in the city of Varese (Lombardy Region), were randomly selected from the civil registry. Among 5198 successfully invited, 3777 subjects accepted to participate and were finally recruited (participation rate 63.8%) from June 2013 to May 2016. Trained operators administered a computerized anamnestic questionnaire, measured anthropometric parameters (BMI, body circumferences, skinfolds), blood pressure, ankle-brachial index, pulse wave velocity and performed abdominal aortic ultrasound scan, ECG and spirometry. All methods were internationally validated. A blood sample was collected and stored in biobank. A follow-up will be carried out through linkage with electronic records.DiscussionParticipation rate and data quality assessment were as expected and will reasonably allow to reach the project aims. The expected impact in public health of the RoCAV project will be the potential implementation of a AAA screening program to the whole region as well as the formulation of new criteria for risk assessment of AAA and CVD.

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High Prevalence of Abdominal Aortic Aneurysm in Patients with Three-vessel Coronary Artery Disease

Cited by 64 publications

References 32 publications

Prevalence of High Arterial Stiffness and Gender-specific Differences in the Relationships with Classical Cardiovascular Risk Factors

Prevalence of High Arterial Stiffness and Gender-specific Differences in the Relationships with Classical Cardiovascular Risk Factors

Influencing Factors for Abdominal Aortic Aneurysm Sac Shrinkage and Enlargement after EVAR: Clinical Reviews before Introduction of Preoperative Coil Embolization

Prevalence of abdominal aortic aneurysms and its relation with cardiovascular risk stratification: protocol of the Risk of Cardiovascular diseases and abdominal aortic Aneurysm in Varese (RoCAV) population based study

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