دورية أكاديمية
What are the Prevalence of Abdominal Aortic Aneurysm in Patients with Chronic Obstructive Pulmonary Diseases and the Characteristics of These Patients?
| العنوان: | What are the Prevalence of Abdominal Aortic Aneurysm in Patients with Chronic Obstructive Pulmonary Diseases and the Characteristics of These Patients? |
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| المؤلفون: | Akturk UA; Department of Chest Disease, Süreyyapaşa Chest Disease and Thoracic Surgery Training and Research Hospital, İstanbul, Turkey., Kocak ND; Department of Chest Disease, Süreyyapaşa Chest Disease and Thoracic Surgery Training and Research Hospital, İstanbul, Turkey., Akturk S; Department of Cardiology, Private Yüzyıl Hospital, Kocaeli, Turkey., Dumantepe M; Department of Cardiovascular Surgery, Medical Park Gebze Hospital, Kocaeli, Turkey., Sengul A; Department of Chest Diseases, Derince Training and Research Hospital, Kocaeli, Turkey., Akcay MA; Department of Radiology, Süreyyapaşa Chest Disease and Thoracic Surgery Training and Research Hospital, İstanbul, Turkey., Akbay MO; Department of Chest Disease, Süreyyapaşa Chest Disease and Thoracic Surgery Training and Research Hospital, İstanbul, Turkey., Kabadayi F; Department of Chest Disease, Süreyyapaşa Chest Disease and Thoracic Surgery Training and Research Hospital, İstanbul, Turkey., Ernam D; Department of Chest Disease, Süreyyapaşa Chest Disease and Thoracic Surgery Training and Research Hospital, İstanbul, Turkey. |
| المصدر: | The Eurasian journal of medicine [Eurasian J Med] 2017 Feb; Vol. 49 (1), pp. 36-39. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: AVES Country of Publication: Turkey NLM ID: 101557701 Publication Model: Print Cited Medium: Print ISSN: 1308-8734 (Print) Linking ISSN: 13088734 NLM ISO Abbreviation: Eurasian J Med Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: Istanbul, Turkey : AVES |
| مستخلص: | Objective: To determine the prevalence of abdominal aortic aneurysm (AAA) in patients with chronic obstructive pulmonary disease (COPD) and to assess the characteristics of these patients. Materials and Methods: Stable COPD patients (age, >40 years) were included in the study between January 2014 and June 2014. Patients with acute exacerbations and a previous lung resection were excluded. Data regarding demographic characteristics were recorded. The modified Medical Research Council (mMRC) dyspnea scale was used to assess the severity of breathlessness. The COPD Assessment Test (CAT) was performed. Abdominal aortic diameter was measured using abdominal ultrasonography (AUS), and AAA was diagnosed as an aortic diameter of ≥30 mm at the renal artery level. Results: In total, 82 patients were examined. AAA was detected in five (6.1%) patients. Diabetes mellitus, hypertension, and coronary artery disease were present in four patients with AAA. The average mMRC score was 3.2±0.4, and the mean CAT score was 18.4±6.0. Aneurysmal diameter was >50 mm in four patients and 37 mm in one patient. Statistically significant differences were found between patient with AAA and those without AAA with respect to the mean abdominal aortic diameters at the renal artery and iliac artery levels (p=0.012 and 0.002, respectively). Conclusion: Our findings suggest that AAA is associated with COPD, with a prevalence rate of 6.1%. AAA is usually asymptomatic until a clinical status of rupture, which is associated with a higher mortality risk. Early diagnosis of AAA is lifesaving. In COPD patients, AAA might be easily determined using AUS, which is a noninvasive and relatively cheap procedure. Competing Interests: Conflict of Interest: No conflict of interest was declared by the authors. |
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| فهرسة مساهمة: | Keywords: Aortic aneurysm; chronic obstructive pulmonary disease; ultrasonography Local Abstract: [Publisher, Turkish] Kronik obstrüktif akciğer hastalığı (KOAH) olan hastalarda abdominal aort anevrizması (AAA) sıklığının ve hasta özelliklerinin değerlendirilmesi. [Publisher, Turkish] Ocak ve Haziran 2014 tarihleri arasında başvuran, stabil dönemdeki KOAH hastaları (>40 yaş) çalışmaya alındı. Akut alevlenme döneminde olan veya geçmişte akciğer rezeksiyonu olan hastalar çalışma dışı bırakıldı. Demografik veriler kaydedildi. Dispne şiddetini değerlendirmek için modified Medical Research Council (mMRC) skalası, semptomlar için ise COPD Assessment Test (CAT) kullanıldı. Abdominal Ultrasonografi (AUS) ile ölçülen abdominal aort çapı renal arter seviyesinde ≥30 mm ise AAA tanısı kondu. [Publisher, Turkish] Çalışmaya toplam 82 hasta alındı. Beş (%6,1) hastada AAA saptandı. Bu hastaların 4’ünde diabetes mellitus, hipertansiyon ve koroner arter hastalığı mevcuttu. Ortalama mMRC skoru 3,2±0,4 iken CAT skoru 18,4±6,0 idi. Anevrizma çapı 4 hastada 50 mm üstü, 1 hastada ise 37 mm üstü saptandı. Abdominal aort çapları renal arter ve iliak arterler düzeyinde, AAA olan ve olmayan grupta istatistiksel olarak anlamlı farklı bulundu (sırasıyla, p=0,012 ve 0,002). [Publisher, Turkish] Çalışmamızda KOAH hastalarında AAA prevelansı %6,1 bulunmuş olup AAA ile KOAH hastalığının ilişkili olabileceğini düşündürmektedir. AAA yüksek mortalite riski taşıyan ve rüptür gelişimine kadar genellikle asemptomatik seyreden bir hastalıktır. Erken tanı hayat kurtarıcıdır. KOAH hastalarında AAA tanısı non invaziv ve nisbeten ucuz bir yöntem olan AUS ile kolaylıkla konulabilir. |
| تواريخ الأحداث: | Date Created: 20170419 Latest Revision: 20201001 |
| رمز التحديث: | 20221213 |
| مُعرف محوري في PubMed: | PMC5389491 |
| DOI: | 10.5152/eurasianjmed.2017.16156 |
| PMID: | 28416930 |
| قاعدة البيانات: | MEDLINE |
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