open access

Vol 75, No 7 (2017)
Original articles
Published online: 2017-03-31
Submitted: 2016-11-04
Accepted: 2017-03-20
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The prevalence of abdominal aortic aneurysms in the rural/urban population in central Poland — Gniewkowo Aortic Study

Tadeusz L. Dereziński, Bartosz Fórmankiewicz, Arkadiusz Migdalski, Paweł Brazis, Grzegorz Jakubowski, Łukasz Woda, Arkadiusz Jawień
DOI: 10.5603/KP.a2017.0071
·
Kardiol Pol 2017;75(7):705-710.

open access

Vol 75, No 7 (2017)
Original articles
Published online: 2017-03-31
Submitted: 2016-11-04
Accepted: 2017-03-20

Abstract

Background and aim: Abdominal aortic aneurysm (AAA) is a widening of the aorta below the renal arteries with a diameter equal to or greater than 3 cm. The prevalence of AAA is estimated at 4–8% in men aged 65 years or older and 1–2% among women over 65 years old. Participation in screening programmes has decreased the number of aortic ruptures.

Methods: All men aged 60 years and older, and women aged 65 years and older living in the rural/urban commune in central Poland were invited to participate in the study. In total 922 persons (61% of the invited population) entered the study. The men were divided into two groups: 60–64 years old, and 65 years and older. Screening abdomen ultrasound was performed and demographic data was collected.

Results: Among the 922 examined persons two (1.01%) AAAs were diagnosed in the group of men 60–64 years of age, three (0.82%) AAAs amongst women ≥ 65 years old, and 33 (9.29%) AAAs were found in the group of men aged 65 years and older. A positive relationship between the presence of AAA and smoking (p = 0.0048), age of men (p = 0.0009), and history of myocardial infarction/acute coronary syndrome (MI/ACS) (p = 0.0079) was found. There was no correlation between the frequency of AAA and diabetes mellitus (p = 0.46), hypertension (p = 0.38), and family history of AAA (p = 0.44).

Conclusions: The prevalence of AAA in men aged 65 years and older is seemingly larger than in previously conducted studies, while among men 60–64 years of age and women aged ≥ 65 it is similar. Older age, smoking, and a history of MI/ACS were the most important risk factors of AAA occurrence.

Abstract

Background and aim: Abdominal aortic aneurysm (AAA) is a widening of the aorta below the renal arteries with a diameter equal to or greater than 3 cm. The prevalence of AAA is estimated at 4–8% in men aged 65 years or older and 1–2% among women over 65 years old. Participation in screening programmes has decreased the number of aortic ruptures.

Methods: All men aged 60 years and older, and women aged 65 years and older living in the rural/urban commune in central Poland were invited to participate in the study. In total 922 persons (61% of the invited population) entered the study. The men were divided into two groups: 60–64 years old, and 65 years and older. Screening abdomen ultrasound was performed and demographic data was collected.

Results: Among the 922 examined persons two (1.01%) AAAs were diagnosed in the group of men 60–64 years of age, three (0.82%) AAAs amongst women ≥ 65 years old, and 33 (9.29%) AAAs were found in the group of men aged 65 years and older. A positive relationship between the presence of AAA and smoking (p = 0.0048), age of men (p = 0.0009), and history of myocardial infarction/acute coronary syndrome (MI/ACS) (p = 0.0079) was found. There was no correlation between the frequency of AAA and diabetes mellitus (p = 0.46), hypertension (p = 0.38), and family history of AAA (p = 0.44).

Conclusions: The prevalence of AAA in men aged 65 years and older is seemingly larger than in previously conducted studies, while among men 60–64 years of age and women aged ≥ 65 it is similar. Older age, smoking, and a history of MI/ACS were the most important risk factors of AAA occurrence.

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Keywords

abdominal aortic aneurysm, ultrasonography, prevalence, screening, population studies

About this article
Title

The prevalence of abdominal aortic aneurysms in the rural/urban population in central Poland — Gniewkowo Aortic Study

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 75, No 7 (2017)

Pages

705-710

Published online

2017-03-31

DOI

10.5603/KP.a2017.0071

Bibliographic record

Kardiol Pol 2017;75(7):705-710.

Keywords

abdominal aortic aneurysm
ultrasonography
prevalence
screening
population studies

Authors

Tadeusz L. Dereziński
Bartosz Fórmankiewicz
Arkadiusz Migdalski
Paweł Brazis
Grzegorz Jakubowski
Łukasz Woda
Arkadiusz Jawień

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