Document Detail

Routine screening for abdominal aortic aneurysm during clinical transthoracic echocardiography in a Korean population.
MedLine Citation:
PMID:  20584057     Owner:  NLM     Status:  In-Process    
BACKGROUND: An abdominal aortic aneurysm (AAA) is potentially fatal when ruptured. Whereas the transthoracic echocardiography (TTE) protocol does not routinely include examination of the infrarenal abdominal aorta, the protocol is performed quickly and easily for AAA screening.
AIM: The aim of this study was to evaluate the clinical utility of the protocol for AAA screening during TTE in a Korean population referred for clinical TTE.
METHODS: All of the patients who were scheduled for TTE were enrolled in the study. At the end of TTE protocol, the abdominal aorta was evaluated at the level below the renal artery origin.
RESULTS: A total of 6,267 patients were screened, and the abdominal aortas were visualized in 79% (4,939 patients) of patients screened. AAA was diagnosed in 27 patients, 23 of whom were male. The mean age of AAA patients was 66.5 years old, and 81% of AAA patients were over 60 years old. The presence of AAA was associated with male gender and older age, as well as with hypertension and smoking. Of the 27 patients, 11 patients (0.2% of the study population) did not have a history of AAA screening and were newly diagnosed by TTE.
CONCLUSIONS: Screening of AAA during TTE is easy and feasible. Even though the prevalence of AAA in patients is very low, detection of asymptomatic AAA may save lives. Therefore, opportunistic examination of the abdominal aorta during routine TTE, which involves little time and cost, would appear to be effective, at least in patients over 60 years of age, especially in men.
Se Hoon Oh; Sung-A Chang; Shin Yi Jang; Sung-Ji Park; Jin-Oh Choi; Sang-Chol Lee; Seung Woo Park; Jae K Oh; Duk-Kyung Kim
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Echocardiography (Mount Kisco, N.Y.)     Volume:  27     ISSN:  1540-8175     ISO Abbreviation:  Echocardiography     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-11-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8511187     Medline TA:  Echocardiography     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1182-7     Citation Subset:  IM    
Copyright Information:
© 2010, Wiley Periodicals, Inc.
Division of Cardiology, Department of Medicine, Cardiovascular Imaging Center, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
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