Evaluation for abdominal aortic aneurysms is justified in patients with thoracic aortic aneurysms
| العنوان: | Evaluation for abdominal aortic aneurysms is justified in patients with thoracic aortic aneurysms |
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| المؤلفون: | Bin Nan, Kuanwong Watcharotone, David M. Williams, Leslie E. Quint, Michael J. Ranella, Peter S. Liu, Joanna R. Hider, Mariana R. DeFreitas, Jonathan L. Eliason, Himanshu J. Patel |
| المصدر: | The International Journal of Cardiovascular Imaging. 32:647-653 |
| بيانات النشر: | Springer Science and Business Media LLC, 2015. |
| سنة النشر: | 2015 |
| مصطلحات موضوعية: | Male, Michigan, medicine.medical_specialty, Computed Tomography Angiography, Comorbidity, 030204 cardiovascular system & hematology, Logistic regression, Aortography, 03 medical and health sciences, Sex Factors, 0302 clinical medicine, Predictive Value of Tests, Risk Factors, medicine.artery, Odds Ratio, Prevalence, Electronic Health Records, Humans, Medicine, Thoracic aorta, Radiology, Nuclear Medicine and imaging, In patient, cardiovascular diseases, 030212 general & internal medicine, Cardiac imaging, Chi-Square Distribution, Aortic Aneurysm, Thoracic, business.industry, Medical record, Smoking, Age Factors, Surgery, Cardiac surgery, Dissection, Logistic Models, medicine.anatomical_structure, Multivariate Analysis, cardiovascular system, Abdomen, Female, Radiology, Cardiology and Cardiovascular Medicine, business, Aortic Aneurysm, Abdominal |
| الوصف: | Aortic aneurysms are a significant cause of mortality, and the presence of multiple aneurysms may affect treatment plans. The purpose of this study was to determine the frequency of abdominal aortic aneurysms (AAAs) in patients with thoracic aortic aneurysms (TAAs) and to establish whether patient specific factors, such as gender and comorbidities, influenced the frequency of AAAs, thereby indicating if and when abdominal aortic evaluation is justified. Electronic medical records were reviewed from 1000 patients with a computed tomography (CT) angiogram of the chest and abdomen and a clinical diagnosis of TAA from Cardiac Surgery clinic between 2008 and 2013. 538 patients with history of aortic intervention, dissection, rupture or trauma were excluded. The frequency of AAAs among the 462 remaining patients was established, and statistical analysis was used to elucidate differences in frequency based on age, gender, comorbidities, and TAA location. Overall, 104 of 462 (22.5 %) patients with a TAA also had an AAA. There were significant differences in the frequency of AAA based on TAA location, age, and comorbidities. The following comorbidities showed positive associations with AAA using logistic regression analysis: age ≥65 (P 0.0001; OR 30.1; CI 7.14-126.61), smoking history (P 0.0001; OR 4.1; 2.35-7.30), and hypertension (P = 0.024; OR 2.1; CI 1.11-4.16). Aneurysms in the proximal/mid descending (P 0.0001; OR 4.96; CI 2.32-10.61) and diaphragm level (P 0.0001; OR 38.4; CI 14.71-100.15) of the aorta also showed a positive association with AAAs when adjusted for age and gender. AAA screening in patients with TAA is a reasonable, evidence-based option regardless of the TAA location, with the strongest support in patientsage 55, with systemic hypertension, a smoking history and/or a TAA in the descending thoracic aorta. |
| تدمد: | 1573-0743 1569-5794 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a69faf1377d030515d0e3d0a61e7263f https://doi.org/10.1007/s10554-015-0807-7 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi.dedup.....a69faf1377d030515d0e3d0a61e7263f |
| قاعدة البيانات: | OpenAIRE |
Find this article in full text from Springer Verlag. | تدمد: | 15730743 15695794 |
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