title: Screening for Peripheral Arterial Disease and Carotid Artery Disease in Patients With Abdominal Aortic Aneurysm.
abstract: Screening for concomitant atherosclerotic disease is important in cardiovascular risk reduction. This study assessed the prevalence of carotid artery disease (CAD) and peripheral arterial disease (PAD) in patients with known abdominal aortic aneurysms (AAAs). All patients with AAA attending the vascular laboratory between the January 1, 2007, and December 31, 2009, were eligible for a carotid ultrasound and measurement of ankle brachial indices. A total of 389 (305 males) patients were identified on the AAA surveillance program with a mean (±standard deviation) age of 76 (±8) years. The mean age of the males was 75.4 (±7.8) years, and the mean age of the females was 77 (±11) years. A total of 332 patients were assessed for CAD, and 101 (30.4%) of those were found to have significant disease. A total of 289 patients were assessed for PAD of which 131 (45.3%) were found to have PAD at rest, and 289 patients were assessed for both and 59 (20.4%) patients had significant CAD + PAD. Patients with AAAs are at high risk of other atherosclerotic disorders, and, therefore, they should receive intensive medical optimization.
authors.affiliation: Department of Vascular Surgery, Mater Misericordiae University Hospital, Dublin, Ireland.
authors.forename: Cleona
authors.initials: C
authors.lastname: Gray
authors.affiliation: School of Physics, Dublin Institute of Technology, Dublin, Ireland.
authors.forename: Patrick
authors.initials: P
authors.lastname: Goodman
authors.affiliation: Department of Vascular Surgery, Mater Misericordiae University Hospital, Dublin, Ireland.
authors.forename: Paul
authors.initials: P
authors.lastname: Cullen
authors.affiliation: Department of Vascular Surgery, Mater Misericordiae University Hospital, Dublin, Ireland stephenbadger@btinternet.com.
authors.forename: Stephen A
authors.initials: SA
authors.lastname: Badger
authors.affiliation: Department of Vascular Surgery, Mater Misericordiae University Hospital, Dublin, Ireland.
authors.forename: Kevin
authors.initials: K
authors.lastname: O'Malley
authors.affiliation: Department of Vascular Surgery, Mater Misericordiae University Hospital, Dublin, Ireland.
authors.forename: Martin K
authors.initials: MK
authors.lastname: O'Donohoe
authors.affiliation: Department of Vascular Surgery, Mater Misericordiae University Hospital, Dublin, Ireland.
authors.forename: Ciaran O
authors.initials: CO
authors.lastname: McDonnell
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D055109:Ankle Brachial Index / Q000379:methods; D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000175:diagnosis* / Q000453:epidemiology; D002340:Carotid Artery Diseases / Q000150:complications / Q000175:diagnosis* / Q000453:epidemiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D058729:Peripheral Arterial Disease / Q000150:complications / Q000175:diagnosis* / Q000453:epidemiology; D015995:Prevalence; D012307:Risk Factors
keywords: abdominal aortic aneurysm; carotid artery disease; peripheral arterial disease; screening