Meta-Analysis of Abdominal Aortic Aneurysm in Patients With Coronary Artery Disease

The American Journal of Cardiology
Ahmed ElkalioubieAnnabelle Dupont

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
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
May 9, 2006·The American Journal of Cardiology·Carlos GuijarroLorenzo López-Bescós
Oct 31, 2007·Circulation·Jonathan GolledgePaul E Norman
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
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

❮ Previous
Next ❯

Citations

Jan 5, 2016·European Heart Journal·Victor AboyansUNKNOWN ESC Working Group on Peripheral Circulation
May 26, 2017·Angiology·Konstantinos SpanosAthanasios Giannoukas
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
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

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.

Cardiovascular Diseases: Risk Factors

Cardiovascular disease is a significant health concern. Risk factors include hypertension, obesity, dyslipidemia and smoking. Women who are postmenopausal are at an increased risk of heart disease. Here is the latest research for risk factors of cardiovascular disease.

Carotid Artery Diseases

Carotid artery disease is a group of pathological conditions of the carotid artery. Discover the latest research on carotid artery disease here.

Aortic Aneurysm

An aortic aneurysm is the weakening and bulging of the blood vessel wall in the aorta. This causes dilatation of the aorta, which is usually asymptomatic but carries the risk of rupture and hemorrhage. Find the latest research on aortic aneurysms here.

Related Papers

European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
R DurieuxN Sakalihasan
European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
J S Weiss, B E Sumpio
© 2021 Meta ULC. All rights reserved