Abstract
The high coronary artery disease (CAD) prevalence in patients with abdominal aortic aneurysm (AAA) is well known. However, the inverse relation has been little explored. We present, based on a systematic review and meta-analysis of the published evidence, a critical appraisal of the issue of AAA prevalence and also AAA predictive risk factors in patients with CAD, comparing it with AAA prevalence in subjects without CAD. A total of 22 studies involving 13,388 patients with CAD met the inclusion criteria. Overall, AAA prevalence in patients with CAD was 8.4% (95% confidence interval [CI] 6.9 to 10.3), significantly higher than in subjects without CAD (odds ratio [OR] 2.42, 95% CI 2.08 to 2.81). Pooled analysis revealed that smoking, arterial hypertension, and concomitant carotid artery stenosis were significantly associated with AAA in patients with CAD (OR 1.72, 95% CI 1.14 to 2.61; OR 1.57, 95% CI 1.06 to 2.35; OR 2.14, 95% CI 1.20 to 3.79, respectively). In patients with CAD, AAA prevalence tended to be higher with concomitant peripheral artery disease (OR 2.66, 95% CI 0.82 to 8.61, p = 0.08). In conclusion, AAA prevalence was significantly higher in patients with CAD versus subjects without CAD.
References
Aug 1, 1995·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·G SimoniV Bachi
Nov 1, 1993·The British Journal of Surgery·F C SmithJ D Hamer
Aug 1, 1996·Arteriosclerosis, Thrombosis, and Vascular Biology·H G AlcornD O'Leary
Jul 24, 1998·Journal of Public Health Medicine·J S LindholtH Fasting
Dec 24, 2003·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Pierre MonneyHendrik T Tevaearai
Oct 29, 2005·The American Journal of Cardiology·Juraj MadaricIgor Riecansky
Mar 8, 2006·Journal of Vascular Surgery·Bertine M B GoessensUNKNOWN SMART Study Group
May 9, 2006·The American Journal of Cardiology·Carlos GuijarroLorenzo López-Bescós
Oct 31, 2007·Circulation·Jonathan GolledgePaul E Norman
Aug 5, 2009·Vascular Medicine·Thomas J KiernanMichael R Jaff
May 25, 2010·The American Journal of Cardiology·Annabelle DupontBrigitte Jude
Sep 16, 2010·ANZ Journal of Surgery·Jensen T C PoonAlbert C W Ting
Jan 11, 2011·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·F L MollUNKNOWN European Society for Vascular Surgery
Aug 17, 2011·Circulation·Sverker SvensjöAnders Wanhainen
Dec 1, 2011·European Heart Journal Cardiovascular Imaging·Caroline CueffDavid Messika-Zeitoun
May 9, 2012·BMJ : British Medical Journal·John L DuncanDavid J Godden
Jan 25, 2014·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·R DurieuxN Sakalihasan
Dec 17, 2014·Yonsei Medical Journal·Sung Ho LeeDuk-Kyung Kim
Citations
Jan 5, 2016·European Heart Journal·Victor AboyansUNKNOWN ESC Working Group on Peripheral Circulation
May 26, 2017·Angiology·Konstantinos SpanosAthanasios Giannoukas
Sep 20, 2018·Physiological Reports·Al MamunYoshihiro Ishikawa
Apr 16, 2016·Arteriosclerosis, Thrombosis, and Vascular Biology·Usman KhalidPeter Riis Hansen
Oct 30, 2018·Journal of the American Heart Association·Konrad SalataMohammed Al-Omran
Mar 7, 2020·Updates in Surgery·Vito A MannacioGabriele Iannelli
Jun 20, 2020·Biological Trace Element Research·Tingting ChenXiaofeng Chen
Jul 2, 2020·Vascular Health and Risk Management·Siong Teng SawDayang Anita Abdul Aziz
Dec 10, 2019·BMC Cardiovascular Disorders·Anna HohneckMartin Sigl
Jul 7, 2018·Angiology·Kosmas I ParaskevasDimitri P Mikhailidis
Jan 9, 2021·Journal of Cardiac Surgery·Vito A MannacioGabriele Iannelli
Dec 21, 2018·The Thoracic and Cardiovascular Surgeon·Ahmed KoshtySebastian Paul Pleger
Sep 17, 2021·Angiologii︠a︡ i sosudistai︠a︡ khirurgii︠a︡ = Angiology and vascular surgery·L N IvanovD Iu Chukrin