Por favor, use este identificador para citar o enlazar este ítem: https://hdl.handle.net/11000/32307

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


no-thumbnailVer/Abrir:

 1-s2.0-S016752731834230X-main.pdf



472,87 kB
Adobe PDF
Compartir:

Este recurso está restringido

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.
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



Creative Commons La licencia se describe como: Atribución-NonComercial-NoDerivada 4.0 Internacional.