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Published on: August 28, 2018
Screening for aortic aneurysms in patients with coronary artery disease: should it be done?
Janek M Senaratne1, Paolo Raggi
1Division of Cardiology, University of Alberta, Edmonton AB, Canada.
Insights
Aneurysmal aortic disease is silent and deadly. Cardiologists can improve screening rates and patient outcomes for thoracic and abdominal aortic aneurysms.
Area of Science:
- Cardiovascular Medicine
- Vascular Surgery
- Preventive Cardiology
Background:
- Aneurysmal aortic disease is often asymptomatic until a catastrophic rupture occurs.
- Screening guidelines exist but have poor implementation rates.
- Cardiologists are well-positioned to improve screening and management due to patient risk factor management.
Discussion:
- This article provides a navigational tool for cardiologists on diagnosing and managing thoracic and abdominal aortic aneurysms.
- It emphasizes the role of cardiologists in improving screening adherence and patient outcomes.
- Evidence-based recommendations and expert opinions are presented to guide cardiovascular specialists.
Key Insights:
- Early detection of aortic aneurysms through screening can prevent rupture and reduce mortality.
- Cardiologists play a crucial role in identifying at-risk patients and implementing screening protocols.
- Proactive management by cardiologists can significantly improve outcomes for patients with aortic aneurysms.
Outlook:
- Improving screening implementation is critical to reducing morbidity and mortality from aortic aneurysms.
- Enhanced collaboration between cardiologists and vascular specialists can optimize patient care.
- Future efforts should focus on refining screening strategies and ensuring widespread adoption in high-risk populations.
Abstract:
Aneurysmal dilation of the aorta is a clinically silent disease that often presents first with a catastrophic event. As a result, several clinician societies and organizations have recommended screening to detect aneurysms before they rupture. Although screening may reduce mortality, the implementation of screening has been poor. Cardiologists are uniquely positioned to improve this gap as they handle patients with typical risk factors for aneurysmal diseases of the aorta and can endorse and implement screening in a high-risk population. The following article attempts to concisely give a navigational tool to the cardiovascular specialist for her/his role in the diagnosis and management of thoracic and abdominal aortic aneurysms, citing evidence as well as stating opinions on how to improve outcomes in this unique patient population.
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