Risk Factors Associated with the Diagnosis of Abdominal Aortic Aneurysm in Patients Screened at a Regional Veterans Affairs Health Care System

Chun, Kevin C.; Teng, Kai; Chavez, LeAnn; Spyk, Elyse N. Van; Samadzadeh, Kiana M.; Carson, John G.; Lee, Eugene S.

doi:10.1016/j.avsg.2013.06.016

Cited by 66 publications

(58 citation statements)

References 22 publications

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“…The association between coronary heart disease and abdominal aortic aneurysm is well known. About 43% of patients with abdominal aortic aneurysm have co-existing coronary heart disease [11], which impacts perioperative risk and mortality [3,[8][9]. One could argue that in context of a normal echo without wall motion abnormalities, coronary angiogram shouldn't have been prioritised in this situation.…”

Section: Discussionmentioning

confidence: 99%

A rare presentation of a rare complication of ruptured AAA... how cardiology comes into play

Mülchia¹,

Novaka²,

Helligea³

et al. 2014

Cardiovasc Med

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SummaryRuptured abdominal aortic aneurysm (rAAA) with an arterio-venous fistula is a rare phenomenon. We report a case where the coincidence of significant coronary stenosis was masking the main problem of an infra-renal aortic aneurysm rupture.Key words: ruptured abdominal aortic aneurysm; aortocaval fistula; acute coronary syndrome; left-sided ivc Case reportA 60-year-old man arrived in the emergency room with palpitations, left mandibular pain and presyncope. Some months previously he was diagnosed with chronic lymphatic leukaemia, but otherwise the patient was in good health without any regular medication. He is a smoker (50 pack years) with a family history of coronary heart disease. On arrival the patient presented with a heart rate of 135 bpm and in respiratory distress

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Section: Discussionmentioning

confidence: 99%

A rare presentation of a rare complication of ruptured AAA... how cardiology comes into play

Mülchia¹,

Novaka²,

Helligea³

et al. 2014

Cardiovasc Med

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“…For instance, the multivariate logistic regression analysis in a recent case-control (271 and 1,387 patients with and without AAA, respectively) study by Song and Park [25] identifi ed COPD as an independent predictor for the risk of AAA (adjusted OR, 1.35; 95% CI, 1.07 to 1.72; P = 0.013). Also, in the multivariate logistic regression analysis of a recent population-based AAA screening study (6,142 screened subjects including 469 AAA patients) by Chun et al [26], COPD was independently associated with AAA (adjusted OR, 1.75; 95% CI, 1.41 to 2.18; P < 0.001). Furthermore, a meta-analysis by Li et al [17] of six epidemiological studies also showed that respiratory disease was a risk factor for AAA (OR, 1.36; 95% CI, 1.19 to 1.55).…”

Section: Discussionmentioning

confidence: 99%

“…A number of studies [20][21][22][23][24][25][26][27] have suggested that chronic obstructive pulmonary disease (COPD) is independently and positively associated with AAA presence. For instance, the multivariate logistic regression analysis in a recent case-control (271 and 1,387 patients with and without AAA, respectively) study by Song and Park [25] identifi ed COPD as an independent predictor for the risk of AAA (adjusted OR, 1.35; 95% CI, 1.07 to 1.72; P = 0.013).…”

Section: Discussionmentioning

confidence: 99%

The association between body mass index and abdominal aortic aneurysm growth: a systematic review

Takagi

Umemoto

2016

Vasa

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Summary: Diabetes, a state of relative insulin resistance, is negatively associated with both the presence and growth abdominal aortic aneurysms (AAA), which could suggest a protective role of obesity against AAA presence or growth. A recent meta-analysis demonstrated a trend toward a positive, though statistically non-signifi cant, association between body mass index (BMI) and the presence of AAA. With respect to the association between obesity and AAA growth, however, the evidence had been very limited. To determine whether obesity (or BMI) is associated with AAA growth, we reviewed currently available studies with a systematic literature search. Our comprehensive search identifi ed seven eligible studies reporting the association of BMI and AAA growth rates, which included data on a total of 3,768 AAA patients. All seven identifi ed studies demonstrated no association between BMI and AAA growth. Despite a trend toward a positive association between BMI and AAA presence, the reason why BMI is not associated with AAA growth (suggested in the present review) is unclear. A discrepancy between associated comorbidities (coronary artery disease, peripheral artery disease, and chronic obstructive pulmonary disease) and AAA presence and between the same comorbidities and AAA growth, however, could be identifi ed. Further investigations are required to elucidate why BMI is not associated with AAA growth despite the trend for a positive association with AAA presence.

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“…Age, smoking status, and family history are the most important predisposing factors [2,3]. The prevalence of AAA has been reported to be between 3% and 8%, and the incidence increases in concordance with age [1,2].…”

Section: Introductionmentioning

confidence: 99%

“…Although the etiology of AAA remains unclear, atherosclerosis, degenerative changes in collagen and elastin fibers in the tunica media, and chronic inflammation are presumed to be responsible factors [1,3]. Age, smoking status, and family history are the most important predisposing factors [2,3].…”

Section: Introductionmentioning

confidence: 99%

What are the Prevalence of Abdominal Aortic Aneurysm in Patients with Chronic Obstructive Pulmonary Diseases and the Characteristics of These Patients?

et al. 2017

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Objective: To determine the prevalence of abdominal aortic aneurysm (AAA) in patients with chronic obstructive pulmonary disease (COPD) and to assess the characteristics of these patients.Materials and Methods: Stable COPD patients (age, >40 years) were included in the study between January 2014 and June 2014. Patients with acute exacerbations and a previous lung resection were excluded. Data regarding demographic characteristics were recorded. The modified Medical Research Council (mMRC) dyspnea scale was used to assess the severity of breathlessness. The COPD Assessment Test (CAT) was performed. Abdominal aortic diameter was measured using abdominal ultrasonography (AUS), and AAA was diagnosed as an aortic diameter of ≥30 mm at the renal artery level.Results: In total, 82 patients were examined. AAA was detected in five (6.1%) patients. Diabetes mellitus, hypertension, and coronary artery disease were present in four patients with AAA. The average mMRC score was 3.2±0.4, and the mean CAT score was 18.4±6.0. Aneurysmal diameter was >50 mm in four patients and 37 mm in one patient. Statistically significant differences were found between patient with AAA and those without AAA with respect to the mean abdominal aortic diameters at the renal artery and iliac artery levels (p=0.012 and 0.002, respectively). Conclusion:Our findings suggest that AAA is associated with COPD, with a prevalence rate of 6.1%. AAA is usually asymptomatic until a clinical status of rupture, which is associated with a higher mortality risk. Early diagnosis of AAA is lifesaving. In COPD patients, AAA might be easily determined using AUS, which is a noninvasive and relatively cheap procedure. Sonuç: Çalışmamızda KOAH hastalarında AAA prevelansı %6,1 bulunmuş olup AAA ile KOAH hastalığının ilişkili olabileceğini düşündürmektedir. AAA yüksek mortalite riski taşıyan ve rüptür gelişimine kadar genellikle asemptomatik seyreden bir hastalıktır. Erken tanı hayat kurtarıcıdır. KOAH hastalarında AAA tanısı non invaziv ve nisbeten ucuz bir yöntem olan AUS ile kolaylıkla konulabilir.

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Risk Factors Associated with the Diagnosis of Abdominal Aortic Aneurysm in Patients Screened at a Regional Veterans Affairs Health Care System

Cited by 66 publications

References 22 publications

A rare presentation of a rare complication of ruptured AAA... how cardiology comes into play

A rare presentation of a rare complication of ruptured AAA... how cardiology comes into play

The association between body mass index and abdominal aortic aneurysm growth: a systematic review

What are the Prevalence of Abdominal Aortic Aneurysm in Patients with Chronic Obstructive Pulmonary Diseases and the Characteristics of These Patients?

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