Quantifying the risks of hypertension, age, sex and smoking in patients with abdominal aortic aneurysm

Citation
Ka. Vardulaki et al., Quantifying the risks of hypertension, age, sex and smoking in patients with abdominal aortic aneurysm, BR J SURG, 87(2), 2000, pp. 195-200
Citations number
25
Categorie Soggetti
Surgery,"Medical Research Diagnosis & Treatment
Journal title
BRITISH JOURNAL OF SURGERY
ISSN journal
00071323 → ACNP
Volume
87
Issue
2
Year of publication
2000
Pages
195 - 200
Database
ISI
SICI code
0007-1323(200002)87:2<195:QTROHA>2.0.ZU;2-T
Abstract
Background: The prevalence of abdominal aortic aneurysm (AAA) in a communit y-based sample of men and women aged 65-79 years was correlated with known risk factors. In addition, the effect of high blood pressure and the use of antihypertensive medication on growth of AAAs were studied. Methods: Aortic diameter was assessed by ultrasonography and data on risk f actors were collected by self-administered questionnaire for 5356 men and w omen as part of a randomized controlled trial. Results: Current hypertension increased the risk of having an aortic aneury sm by 30-40 per cent while use of antihypertensive medication increased the risk by 70-80 per cent, adjusting for current blood pressure. There was no clear relationship between hypertension and growth rates of existing aneur ysms in this study, although these results were largely from data on small aneurysms. Men were nearly six times more likely to develop an AAA than wom en; the risk increased by 40 per cent every 5 years after the age of 65 yea rs. Smoking was an independent risk factor for AAA, with level of exposure being more significant than duration. Conclusion: Male sex, smoking and hypertension are strong risk factors for the development of AAA. In this study hypertension did not significantly in crease the growth rate of existing aneurysms. Smoking remains the most impo rtant avoidable risk factor for AAA. The analyses presented here suggest th at selection for screening, other than by age and sex, is not worthwhile.