지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 257 - 264 (8page)
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초록· 키워드
오류제보하기
BACKGROUND: Aortic aneurysm (AA) is an enlargement of the aorta to greater than 1.5 times normal size. Although the US guideline recommends ultrasound screening for abdominal AA (AAA) in men older than 65 years regardless of symptoms, limited data describe the prevalence of AAA in Korea. In this study, we screened patients for AAA during transthoracic echocardiographic examination (TTE). METHODS: We screened for AAA in all consecutive subjects older than 60 years who underwent TTE. We defined AAA as an abdominal aorta with the diameter greater than 30 mm. RESULTS: We analyzed 5,679 persons (2,272 females, 74 ± 8 years old). The mean size of the abdominal aorta was 19.0 ± 6.1 mm. The prevalence of AAA was 2.9% (165/5,679) and was significantly higher in males (4.7% vs. 1.1%, p < 0.001). AAA was significantly associated with male sex (odds ratio [OR] = 3.098, 95% confidence interval [CI] = 1.971-4.870, p < 0.001), older age (OR = 1.074, 95% CI = 1.050-1.097, p < 0.001), non-diabetes (OR = 1.886, 95% CI = 1.264-2.813, p < 0.001), dyslipidemia (OR = 1.475, 95% CI = 1.019-2.135, p = 0.040), ever-smoker (OR = 2.090, 95% CI = 1.448-3.015, p < 0.001), chronic kidney disease (CKD, OR = 1.757, 95% CI = 1.182-2.612, p = 0.005), and coronary artery disease (CAD, OR = 2.452, 95% CI = 1.742-3.451, p < 0.001). A prediction score with a multivariate model (range: 3.34-10.51) detected AAA with a sensitivity of 79.4% and a specificity of 66.8% with a reference value > 6.8 (area under the curve = 0.799). CONCLUSIONS: In Korea, the prevalence of AAA was 2.9% in subjects older than 60 years during TTE, and AAA was significantly associated with older age, male sex, non-diabetes, dyslipidemia, ever-smoker, CKD, and CAD. Prediction score (> 6.8%) detected AAA with a sensitivity of 79.4% and a specificity of 66.8%.
목차
등록된 정보가 없습니다.
참고문헌 (21)
참고문헌 신청
Hirsch AT / 2006 / ACC/AHA 2005 Practice Guidelines for the management of patients with peripheral arterial disease(lower extremity, renal, mesenteric, and abdominal aortic) : a collaborative report from the American Association for Vascular Surgery/Society for Vascular Surgery, Society for Cardiovascular Angiography and Interventions, Society for Vascular Medicine and Biology, Society of Interventional Radiology, and the ACC/AHA Task Force on Practice Guidelines(Writing Committee to Develop Guidelines for the Management of Patients With Peripheral Arterial Disease) : endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation; National Heart, Lung, and Blood Institute; Society for Vascular Nursing; TransAtlantic Inter-Society Consensus; and Vascular Disease Foundation / Circulation 113:e463~e654
Chaikof EL / 2009 / SVS practice guidelines for the care of patients with an abdominal aortic aneurysm : executive summary / J Vasc Surg 50:880~896
Karthikesalingam A / 2014 / Mortality from ruptured abdominal aortic aneurysms : clinical lessons from a comparison of outcomes in England and the USA / Lancet 383:963~969
Gillum RF / 1995 / Epidemiology of aortic aneurysm in the United States / J Clin Epidemiol 48:1289~1298
Thompson MM / 2003 / Controlling the expansion of abdominal aortic aneurysms / Br J Surg 90:897~898
Chaikof EL / 2009 / SVS practice guidelines for the care of patients with an abdominal aortic aneurysm : executive summary / J Vasc Surg 50:880~896
Karthikesalingam A / 2014 / Mortality from ruptured abdominal aortic aneurysms : clinical lessons from a comparison of outcomes in England and the USA / Lancet 383:963~969
Gillum RF / 1995 / Epidemiology of aortic aneurysm in the United States / J Clin Epidemiol 48:1289~1298
Thompson MM / 2003 / Controlling the expansion of abdominal aortic aneurysms / Br J Surg 90:897~898
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