Título : Screening based on risk factors for abdominal aortic aneurysm in the cardiology clinic |
Autor : Izquierdo González, Ricardo Dorrego García, Ramón María Rodriguez Ledo, Pilar Segura-Heras, José Vicente |
Editor : Elsevier |
Departamento: Departamentos de la UMH::Estadística, Matemáticas e Informática |
Fecha de publicación: 2019-03-15 |
URI : https://hdl.handle.net/11000/32307 |
Resumen :
Background: The risk factors for abdominal aortic aneurysm (AAA) are present in many of the patients that attend
our cardiology service. The aim of this study was the evaluation of the prospects of examining the abdominal
aorta during our consultations and the relationship of AAA with risk factors and ischemic cardiopathy.
Methods: A descriptive transversal observational study was designed including 274 male patients aged ≥60 years,
attended consecutively in the cardiology service, in which we studied the abdominal aorta and adjusted a logistic
regression model to determine the risk factors associated with AAA.
Results: We were able to visualize and measure the abdominal aorta in 95.4% of cases in a fast and reliable way.
The prevalence of AAA was 8.76%. 75% of patients with AAA presented ischemic heart disease. Patients with AAA
were characterized by the presence of ischemic cardiopathy (Odds Ratio (OR): 4.27, 95% Confidence Interval (CI):
1.37–13.31, p = 0.012), dyslipidemia (OR: 4.99, 95% CI: 1, 07–23.31; p = 0.041), arterial hypertension (OR: 4.14,
95% CI: 1.07–15.98, p = 0.039), and a longer history of smoking (OR: 1.03; 95% CI: 1002–1.054; p = 0.037).
Conclusions: The evaluation of the abdominal aorta during cardiology consultations is feasible with the standard
resources. Patients treated in the cardiology service present a high prevalence of AAA. We have adjusted and
validated a clinical prediction model based on risk factors that allows the identification, in the cardiology consult,
of patients with the highest risk of suffering from AAA.
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Palabras clave/Materias: Abdominal aortic aneurysm screening Echocardiography Cardiology clinic Risk score |
Área de conocimiento : CDU: Ciencias aplicadas |
Tipo documento : application/pdf |
Derechos de acceso: info:eu-repo/semantics/closedAccess Attribution-NonCommercial-NoDerivatives 4.0 Internacional |
DOI : https://doi.org/10.1016/j.ijcard.2018.12.059 |
Aparece en las colecciones: Artículos Estadística, Matemáticas e Informática
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