[Cardiovascular risk in patients suffering abdominal aorta aneurysm]

Area of Science:

• Cardiovascular Surgery
• Vascular Surgery
• Cardiology

Background:

• Abdominal aortic aneurysm (AAA) is a significant vascular condition.
• Cardiovascular disease frequently coexists with AAA, increasing surgical risk.
• Optimal management requires understanding the extent of cardiovascular involvement.

Purpose of the Study:

• To determine the frequency of cardiovascular pathology in patients with abdominal aortic aneurysm.
• To evaluate the necessity of prioritizing cardiovascular risk assessment in surgical planning for AAA.

Main Methods:

• Analysis of patient data including electrocardiogram (ECG), echocardiography (echo-CS), and ultrasound duplex scanning (USDS).
• Assessment of carotid intima-media (CIM) thickness.
• Review of medical records for cardiovascular and extracranial artery conditions.

Main Results:

• Coronary blood circulation disorders detected by ECG in 67.7% of patients.
• Hemodynamically significant coronary artery disease found in 71.5%.
• Extracranial artery pathology requiring surgical correction identified in 38.3%.

Conclusions:

• High prevalence of cardiovascular and extracranial artery disease in AAA patients.
• Cardiovascular risk stratification is crucial for determining the optimal surgical sequence.
• Prioritizing cardiovascular risk management can improve outcomes in AAA surgery.