TY - JOUR T1 - Prevalence of abdominal aortic aneurysm in patients with high cardiovascular risk JO - Revista Clínica Española (English Edition) T2 - AU - Cornejo Saucedo,M.A. AU - García-Gil,D. AU - Brun Romero,F.M. AU - Torres do Rego,A. AU - Beltrán Romero,L. AU - Rodilla Sala,E. AU - Acosta Guerra,G. AU - Villanueva Martínez,J. AU - Casas Rojo,J.M. AU - Torres Macho,J. AU - García de Casasola-Sánchez,G. SN - 22548874 M3 - 10.1016/j.rceng.2018.09.001 DO - 10.1016/j.rceng.2018.09.001 UR - https://www.revclinesp.es/en-prevalence-abdominal-aortic-aneurysm-in-articulo-S2254887418301401 AB - BackgroundTo determine the prevalence of abdominal aortic aneurysm (AAA) (arterial diameter ≥30mm), in patients with high or very high cardiovascular risk (CVR) and to evaluate their clinical features. Patients and methodsObservational, cross-sectional and multicentric study conducted in Spanish Internal Medicine Services. We enrolled men with age >55 years and women >65 years who had a high or very high CVR. ResultsThe study included 659 patients. The prevalence of AAA was 8% (53 patients). 76.9% were male with a mean age of 71±8.7 years. The multivariate analysis showed an association between AAA and age (OR: 1.06; 95% CI: 1.02–1.1; P<0.01), male sex (OR: 5.6; 95% CI: 1.6–18.8; P=0.01), active smoking (OR: 3.22; 95% CI: 1.16–8.93; P=.024) and peripheral arterial disease (OR: 3.51; 95% CI: 1.73–7.09; P<0.01). Diabetes mellitus was an independent protective factor (OR: 0.41; 95% CI: 0.22–0.78; P=0.06). Those with subaneurysmal dilatation of the abdominal aorta (diameter 25–29.9mm) presented similar features as patients with AAA. ConclusionsThe prevalence of AAA in patients with high CVR is high. Ultrasound screening can be performed by general practitioners. Men >65 years with elevated CVR could benefit, particularly in the presence of active smoking or peripheral arterial disease. ER -