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Screening based on risk factors for abdominal aortic aneurysm in the cardiology clinic

Ricardo Izquierdo González1, Ramón María Dorrego García2, Pilar Rodríguez Ledo3

  • 1Sección de Cardiología, Hospital of Monforte de Lemos (Lugo), Spain.

International Journal of Cardiology
|January 16, 2019
PubMed

Insights

Cardiology patients have a high prevalence of abdominal aortic aneurysm (AAA). Echocardiography during consultations can identify AAA risk factors like heart disease and hypertension, aiding early detection.

Area of Science:

  • Cardiology
  • Vascular Surgery
  • Diagnostic Imaging

Background:

  • Cardiology patients frequently present with abdominal aortic aneurysm (AAA) risk factors.
  • Evaluating the abdominal aorta during routine cardiology consultations is proposed.
  • The study investigates the link between AAA, its risk factors, and ischemic heart disease.

Purpose of the Study:

  • To assess the feasibility of examining the abdominal aorta in cardiology consultations.
  • To determine the relationship between AAA and common cardiovascular risk factors.
  • To develop a predictive model for identifying high-risk AAA patients in cardiology settings.

Main Methods:

  • A descriptive, transversal, observational study was conducted.
  • 274 male patients aged 60+ years, attending a cardiology service, were included.
  • Logistic regression was used to identify risk factors associated with AAA.

Main Results:

  • The abdominal aorta was visualized in 95.4% of patients.
  • The prevalence of AAA was 8.76%.
  • AAA was significantly associated with ischemic heart disease (OR: 4.27), dyslipidemia (OR: 4.99), hypertension (OR: 4.14), and smoking history (OR: 1.03).

Conclusions:

  • Abdominal aorta evaluation is feasible using standard cardiology resources.
  • Cardiology patient populations exhibit a high prevalence of AAA.
  • A validated clinical prediction model can identify cardiology patients at elevated risk for AAA.
Abstract

Keywords:
Abdominal aortic aneurysm screeningCardiology clinicEchocardiographyRisk score

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