Screening Men with Coronary Heart Disease for Abdominal Aortic Aneurysm: A Prospective Cohort Study

Vänni, Ville; Hernesniemi, Jussi; Turtiainen, Matti; Turtiainen, Johanna; Hakala, Tapio

doi:10.1007/s00268-015-3091-8

Cited by 5 publications

(7 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Observing the prevalence of 8.6% in patients with a three-vessel CAD and AAA also shows a similarity to the literature data. 1,2,13,[18][19][20][21] The consideration of all CAD grades showed a significant correlation between AAA and threevessel CAD (p ¼ 0.039) (►Table 2).…”

Section: Discussionmentioning

confidence: 96%

“…Prevalence rates indicated in the literature range between 2.4 and 14.4% for men aged >50 years with a three-vessel CAD. 1,13,[18][19][20][21] Based on a meta-analysis of 21 articles, totaling several 2323 patients, the prevalence of small AAAs was 44.9% for ischemic CAD and 26.8% for those with previous myocardial infarction. 22 Although only investigated in small cohorts of CAD patients, the current evidence indicates AAA as a concomitant finding in a considerable proportion of individuals.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Coronary Artery Disease as a Relevant Risk Factor in Screening of Abdominal Aortic Ectasia and Aneurysm

Koshty

Bork

Böning

et al. 2018

Thorac Cardiovasc Surg

View full text Add to dashboard Cite

Background The aim of this study was to investigate the prevalence of abdominal aortic aneurysm (AAA) and abdominal aortic ectasia (AAE) in coronary artery disease (CAD) patients in a multicenter setting to obtain significant data to establish an AAA screening program in our departments. Methods Between January and September 2016, 500 patients with suspected or diagnosed CAD planned for coronary angiography or coronary artery bypass graft (CABG) underwent a sonographic examination of the infrarenal abdominal aorta to diagnose AAA or AAE. We calculated the prevalence of AAA and AAE in patients diagnosed of CAD and investigated factors potentially associated with the occurrence of AAA. Results The overall prevalence in all grades of CAD for AAE was 35.1% and for AAA 5.4%. In patients with three-vessel CAD, the prevalence of AAE was 34% and of AAA 6.8%. Significant correlation was found between the three-vessel CAD and AAA (p = 0.039). The logistic regression analysis showed significant correlation between AAA and age > 65 years (p = 0.05). The multivariate analysis of risk factors and CAD revealed significant correlations between one-vessel CAD and arterial hypertension (AH) (p = 0.004) and age > 65 years (p = 0.001) as well as between three-vessel CAD and AH (p = 0.01), peripheral artery disease (p = 0.01), and age > 65 years (p = 0.03). Conclusion Our results confirm, that in comparison to other data, the prevalence of AAA in patients with CAD is high. Thus, it is recommended to include patients with CAD, especially elderly patients with three-vessel CAD, in future AAA screening programs.

show abstract

Section: Discussionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

Coronary Artery Disease as a Relevant Risk Factor in Screening of Abdominal Aortic Ectasia and Aneurysm

Koshty

Bork

Böning

et al. 2018

Thorac Cardiovasc Surg

View full text Add to dashboard Cite

show abstract

“…In this study, the prevalence of AAA was 6.1%, exceeding clearly the prevalence of recently published findings (2.3%) based on screening of general population (4, 5). Incidence of previously undiagnosed AAAs in previous studies on CAD patients varies between 2.8% and 13% (4, 11–16) with heterogeneity in inclusion criteria and definition of CAD. Our results fall in the lower range of that spectrum, possibly due to differences in population characteristics such as age and patient selection (previously diagnosed AAAs excluded) (Fig.…”

Section: Discussionmentioning

confidence: 96%

“…Furthermore, our present results on prevalence are nearly identical to our previously published results of a screening study conducted in the same geographic area but among out-patient male population with asymptomatic coronary heart disease (wider definition also including patients without angiographic diagnosis; prevalence of AAA 6.1% vs 5.7%). However, the role of smoking as a risk factor was less significant in out-patient population (16). It is well established that the severity of the CAD correlates strongly to the prevalence of AAA (11), and the highest prevalence numbers have been reported among patients undergoing CABG (12, 18).…”

Section: Discussionmentioning

confidence: 99%

Ultrasound Screening of Men with Coronary Artery Disease for Abdominal Aortic Aneurysms: A Prospective Dual Center Study

et al. 2016

View full text Add to dashboard Cite

Background and Aims: according to the heterogeneous results of previous studies, the prevalence of abdominal aortic aneurysm seems high among men with coronary artery disease. the associating risk factors for abdominal aortic aneurysm in this population require clarification. our objective was to assess the prevalence of non-diagnosed abdominal aortic aneurysms in men with angiographically verified coronary artery disease and to document the associated co-morbidities and risk factors.Material and Methods: altogether, 407 men with coronary artery disease were screened after invasive coronary angiography in two series at independent centers. risk factor data were recorded and analyzed.Results and Conclusion: the mean age of the study cohort was 70.0 years (standard deviation: 11.0). the prevalence of previously undiagnosed abdominal aortic aneurysms in the whole screened population of 407 men was 6.1% (n = 25/407). in a multivariate analysis of the whole study population, the only significant risk factors for abdominal aortic aneurysm were age (odds ratio: 1.04, 95% confidence interval: 1.00-1.09) and history of smoking (odds ratio: 3.13, 95% confidence interval: 1.26-7.80). non-smokers with abdominal aortic aneurysm were significantly older than smokers (mean age: 80.7 (standard deviation: 8.0) vs 68.0 (standard deviation: 11.1), p = 0.003), and age was a significant risk factor only among non-smokers (p = 0.011; p = 0.018 for interaction). among smokers, the prevalence of abdominal aortic aneurysm was 8.8%, and 72% (n = 18/25) of all diagnosed abdominal aortic aneurysm patients were smokers. Prevalence of undiagnosed abdominal

show abstract

“…One study by Vänni et al found an AAA prevalence rate of 5.7% among 438 male outpatients with CVD. 13 Another study by Lindholt et al reported a prevalence of 9.3% in men with previous myocardial infarction, 6.5% with PAD, and 2.7% in CVD-free men. 14 In the present study, a recent CVD diagnosis influenced screening attendance.…”

Section: Discussionmentioning

confidence: 97%

Role of Experience With Preventive Medication and Personal Risk Attitude in Non-Attendance at Triple Vascular Screening

Hansen

Lindholt

Søgaard

2018

European Journal of Vascular and Endovascular Surgery

View full text Add to dashboard Cite

Non-attendance at triple vascular screening is influenced by use of preventive medications and traditional explanatory factors of non-attendance at vascular screening, including existing CVD comorbidity. Attendance rates might benefit from rethinking risk communication alongside screening invitations according to varying invitee profiles and clinical risk scenarios, and from providing interventions targeted at individuals with lower levels of health literacy.

show abstract

Screening Men with Coronary Heart Disease for Abdominal Aortic Aneurysm: A Prospective Cohort Study

Cited by 5 publications

References 25 publications

Coronary Artery Disease as a Relevant Risk Factor in Screening of Abdominal Aortic Ectasia and Aneurysm

Coronary Artery Disease as a Relevant Risk Factor in Screening of Abdominal Aortic Ectasia and Aneurysm

Ultrasound Screening of Men with Coronary Artery Disease for Abdominal Aortic Aneurysms: A Prospective Dual Center Study

Role of Experience With Preventive Medication and Personal Risk Attitude in Non-Attendance at Triple Vascular Screening

Contact Info

Product

Resources

About