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[Abdominal aortic aneurysm in the elderly]

F Mattace Raso1, E Bonacci, L Pansini

  • 1Cattedra di Geriatria e Gerontologia, Facoltà di Medicina e Chirurgia, Università degli Studi, Catanzaro.

Minerva Medica
|May 1, 1995
PubMed
Summary
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Abdominal aortic aneurysm (AAA) affects 0.3% of older adults, with all diagnosed cases being male smokers with atherosclerosis. Early diagnosis is crucial for managing this condition and preventing fatal ruptures.

Area of Science:

  • Vascular Surgery
  • Gerontology
  • Epidemiology

Context:

  • Abdominal aortic aneurysm (AAA) is often asymptomatic, leading to incidental diagnosis or discovery during rupture, a life-threatening event.
  • Early detection of AAA is critical for effective patient management and monitoring.
  • This study investigated AAA incidence in an elderly population under care.

Purpose:

  • To determine the incidence of abdominal aortic aneurysm (AAA) in individuals over 65 years old.
  • To identify AAA-related symptoms, risk factors, and co-existing conditions in the studied population.
  • To assess the prevalence of AAA in a specific cohort of elderly patients.

Summary:

  • A retrospective study of 1304 individuals over 65 identified four cases of AAA (0.3%).

Related Experiment Videos

  • All diagnosed individuals were male, smokers, and presented with multidistrict atherosclerosis and other pathologies.
  • The observed incidence was lower than literature values, potentially due to routine clinical examination practices.

    • Impact:

    • Highlights the importance of evaluating AAA in high-risk elderly patients due to its high mortality rate upon rupture.
    • Suggests a need for targeted screening strategies in older male smokers with atherosclerosis.
    • Contributes to understanding the epidemiology of AAA in specific demographic groups.