Interaction between widening of diameter of abdominal aorta and cardiovascular risk factors and atherosclerosis burden

作者: Frédéric Glauser , Lucia Mazzolai , Roger Darioli , Michèle Depairon

DOI: 10.1007/S11739-013-0941-Y

关键词: RadiologyCardiologyAortaMedicineSubclinical infectionInternal medicineMean ageCardiovascular risk factorsChd riskAbdominal aortaProspective cohort studyAbdominal aortic aneurysm

摘要: The aim of this study was to investigate influence traditional cardiovascular risk factors (CVRF) and subclinical atherosclerosis (ATS) burden on early stages abdominal aortic diameter (AAD) widening among adults. 2,052 consecutive patients (P) (39 % women), mean age 52 ± 13 years, were prospectively screened for CVRF, ATS, AAD. B-mode ultrasound used evaluate the largest AAD detect carotid femoral atherosclerotic plaques. Mean 15.2 ± 2.8 mm. Atherosclerotic plaques detected in 71 % patients. Significant univariate correlation between AAD, ABS found. However, multiple regression analysis showed that only seven them significantly weakly correlated with (R² = 0.27, p < 0.001). On other hand, a multivariate logistic CVRF impact enlarged AAD ≥25 mm (EAAD) as compared those AAD <25 mm. These did not account more than 30 % interaction (R² = 0.30, p = 0.001). Furthermore, despite large proportion high number rate low (1 %) scattered regardless their CHD score or ATS burden. In conclusion, these results suggest although some presence are associated EAAD, determinants still need be identified better understanding aneurysm pathogenesis.

参考文章(30)
Asko O. Rantala, Heikki Kauma, Mauno Lilja, Antti Reunanen Y., Antero Kesäniemi, Ilkka Suramo, Markku J. Päivänsalo, Jukka Merikanto, Tapani Jerkkola, Markku J. Savolainen, Effect of hypertension and risk factors on diameters of abdominal aorta and common iliac and femoral arteries in middle-aged hypertensive and control subjects Atherosclerosis. ,vol. 153, pp. 99- 106 ,(2000) , 10.1016/S0021-9150(00)00374-9
D Reed, C Reed, G Stemmermann, T Hayashi, Are aortic aneurysms caused by atherosclerosis Circulation. ,vol. 85, pp. 205- 211 ,(1992) , 10.1161/01.CIR.85.1.205
Ö. Norrgård, K.-A. Ängquist, O. Johnson, Familial aortic aneurysms: serum concentrations of triglyceride, cholesterol, HDL-cholesterol and (VLDL + LDL)-cholesterol. British Journal of Surgery. ,vol. 72, pp. 113- 116 ,(2005) , 10.1002/BJS.1800720215
T. Länne, B. Sonesson, D. Bergqvist, H. Bengtsson, D. Gustafsson, Diameter and compliance in the male human abdominal aorta: influence of age and aortic aneurysm. European Journal of Vascular Surgery. ,vol. 6, pp. 178- 184 ,(1992) , 10.1016/S0950-821X(05)80237-3
Ahmed Klink, Fabien Hyafil, James Rudd, Peter Faries, Valentin Fuster, Ziad Mallat, Olivier Meilhac, Willem J. M. Mulder, Jean-Baptiste Michel, Francesco Ramirez, Gert Storm, Robert Thompson, Irene C. Turnbull, Jesus Egido, Jose L. Martín-Ventura, Carlos Zaragoza, Didier Letourneur, Zahi A. Fayad, Diagnostic and therapeutic strategies for small abdominal aortic aneurysms Nature Reviews Cardiology. ,vol. 8, pp. 338- 347 ,(2011) , 10.1038/NRCARDIO.2011.1
Silverio Cabellon, Christian L. Moncrief, Donald R. Pierre, Daniel G. Cavanaugh, Incidence of abdominal aortic aneurysms in patients with atheromatous arterial disease The American Journal of Surgery. ,vol. 146, pp. 575- 576 ,(1983) , 10.1016/0002-9610(83)90290-8
Ami S. Patel, Rachel H. Mackey, Rachel P. Wildman, Trina Thompson, Karen Matthews, Lewis Kuller, Kim Sutton-Tyrrell, Cardiovascular risk factors associated with enlarged diameter of the abdominal aortic and iliac arteries in healthy women. Atherosclerosis. ,vol. 178, pp. 311- 317 ,(2005) , 10.1016/J.ATHEROSCLEROSIS.2004.08.026
Stein Harald Johnsen, Signe Helene Forsdahl, Kulbir Singh, Bjarne Koster Jacobsen, Atherosclerosis in Abdominal Aortic Aneurysms: A Causal Event or a Process Running in Parallel? The Tromsø Study Arteriosclerosis, Thrombosis, and Vascular Biology. ,vol. 30, pp. 1263- 1268 ,(2010) , 10.1161/ATVBAHA.110.203588
S.D. Hobbs, M.W.C. Claridge, C.R.G. Quick, N.E. Day, A.W. Bradbury, A.B.M. Wilmink, LDL cholesterol is associated with small abdominal aortic aneurysms. European Journal of Vascular and Endovascular Surgery. ,vol. 26, pp. 618- 622 ,(2003) , 10.1016/S1078-5884(03)00412-X
Frank A Lederle, Gary R Johnson, Samuel E Wilson, Edmund P Chute, Fred N Littooy, Dennis Bandyk, William C Krupski, Gary W Barone, Charles W Acher, David J Ballard, Prevalence and Associations of Abdominal Aortic Aneurysm Detected through Screening Annals of Internal Medicine. ,vol. 126, pp. 441- 449 ,(1997) , 10.7326/0003-4819-126-6-199703150-00004