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Author Spotlight: Using Point-of-Care Ultrasound for Comprehensive Evaluation of the Abdominal Aorta
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Ultrasound Screening of Men with Coronary Artery Disease for Abdominal Aortic Aneurysms: A Prospective Dual Center

V Vänni1, T Hakala1, J Mustonen2

  • 11 Department of Surgery, North Karelia Central Hospital, Joensuu, Finland.

Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society
|March 2, 2016
PubMed

Insights

The prevalence of undiagnosed abdominal aortic aneurysms is high in men with coronary artery disease. History of smoking is the most significant risk factor for abdominal aortic aneurysm in this population.

Area of Science:

  • Cardiovascular Medicine
  • Vascular Surgery
  • Epidemiology

Background:

  • Abdominal aortic aneurysm (AAA) prevalence is reportedly high in men with coronary artery disease (CAD).
  • Risk factors for AAA in this specific population require further investigation.

Purpose of the Study:

  • To determine the prevalence of undiagnosed AAA in men with confirmed CAD.
  • To identify associated comorbidities and risk factors for AAA in this cohort.

Main Methods:

  • Screening of 407 men with CAD post-invasive coronary angiography.
  • Recording and analysis of risk factor data.

Main Results:

  • A 6.1% prevalence of previously undiagnosed AAA was found (25/407 men).
  • Significant risk factors identified were age (OR 1.04) and history of smoking (OR 3.13).
  • Smokers had a higher AAA prevalence (8.8%) and constituted 72% of diagnosed AAA cases.

Conclusions:

  • Undiagnosed AAA is prevalent in male CAD patients.
  • History of smoking is a primary risk factor for AAA in this group.
  • Further studies are needed to evaluate the effectiveness of selective AAA screening in male CAD patients.
Abstract

Keywords:
Abdominal aortic aneurysmcoronary artery diseasecoronary heart diseasescreening

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