Racial differences in the incidence of femoral bypass and abdominal aortic aneurysmectomy in Massachusetts: Relationship to cardiovascular risk factors

Abstract

Hypertension, smoking, and male sex are risk factors for the development of femoral atherosclerosis and abdominal aortic aneurysm formation. However, abdominal aortic aneurysms occur predominantly in white men and do not appear to be associated with diabetes mellitus or income. In contrast, the higher rate of femoral artery bypass in black patients is probably the result of greater prevalence among black patients of hypertension, diabetes, smoking, and perhaps by other ill-defined factors associated with socioeconomic status.

Analysis of risk factors for abdominal aortic aneurysm in a cohort of more than 3 million individuals

“…[18][19][20] We confirm this observation and additionally demonstrate that Hispanics and Asians have a lower prevalence of AAA than whites after adjusting for all other known risk factors. No significant differences were noted between Native American and whites.…”

Ethnicity and cardiovascular disease prevention in the United Kingdom: a practical approach to management

“…For example, there are numerous data, mainly from the US, to suggest that the availability and outcome of treatment for lower limb PAD is inferior in non-whites. 170,172,176 ACs appear more likely to undergo infra-inguinal than aortoiliac bypass, supporting the notion that they have a greater tendency to develop distal disease. 176,177 This may also explain why US blacks appear less likely to undergo endovascular as opposed to open surgical revascularization and are at increased risk of amputation.…”

“…176,177 This may also explain why US blacks appear less likely to undergo endovascular as opposed to open surgical revascularization and are at increased risk of amputation. However, life-style, socio-economic status, levels of insurance cover and thus unmet health-care need may be equally important 176,[177][178][179][180][181][182][183][184][185][186][187] (Supplementary Table W5). A study from South Africa also indicated that non-whites tend to present with more advanced disease, are less likely to have reconstruction and more likely to have amputation.…”

Serum carboxymethyllysine concentrations are reduced in diabetic men with abdominal aortic aneurysms: Health In Men Study

“…3 One risk factor for atherosclerosis that AAAs do not share is diabetes. 4 In a large screening study of Ͼ100,000 subjects, those with diabetes were half as likely to have an AAA as people without diabetes. 3 This inverse association has been confirmed in other population-based studies.…”