| Abdominal aortic aneurysm: A comprehensive review. | |
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MedLine Citation:
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PMID: 21523201 Owner: NLM Status: PubMed-not-MEDLINE |
Abstract/OtherAbstract:
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An arterial aneurysm is defined as a focal dilation of a blood vessel with respect to the original artery. The risk of abdominal aortic aneurysms (AAAs) increases dramatically in the presence of the following factors: age older than 60 years, smoking, hypertension and Caucasian ethnicity. The likelihood that an aneurysm will rupture is influenced by the aneurysm size, expansion rate, continued smoking and persistent hypertension. The majority of AAAs are asymptomatic and are detected as an incidental finding on ultrasonography, abdominal computed tomography or magnetic resonance imaging performed for other purposes. It can also present with abdominal pain or complications such as thrombosis, embolization and rupture. Approximately 30% of asymptomatic AAAs are discovered as a pulsatile abdominal mass on routine physical examination. Abdominal ultrasonography is considered the screening modality of choice for detecting AAAs because of its high sensitivity and specificity, as well as its safety and relatively lower cost. The decision to screen for AAAs is challenging. The United States Preventive Services Task Force recommended that men between the age of 65 to 75 years who have ever smoked should be screened at least once for AAAs by abdominal ultrasonography. Management options for patients with an asymptomatic AAA include reduction of risk factors such as smoking, hypertension and dyslipidemia; medical therapy with beta-blockers; watchful waiting; endovascular stenting; and surgical repair depending on the size and expansion rate of the aneurysm and underlying comorbidities. |
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Authors:
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Sourabh Aggarwal; Arman Qamar; Vishal Sharma; Alka Sharma |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Experimental and clinical cardiology Volume: 16 ISSN: 1918-1515 ISO Abbreviation: Exp Clin Cardiol Publication Date: 2011 |
Date Detail:
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Created Date: 2011-04-27 Completed Date: 2011-07-14 Revised Date: 2011-07-28 |
Medline Journal Info:
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Nlm Unique ID: 9715903 Medline TA: Exp Clin Cardiol Country: Canada |
Other Details:
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Languages: eng Pagination: 11-5 Citation Subset: - |
Affiliation:
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University College of Medical Sciences, New Delhi, India; |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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