Abdominal Aortic Aneurysm Top Open Access Journals
Abdominal aortic aneurysm refers to abdominal aortic dilation of three .0 cm or greater. The main risk factors are age older than 65 years, male sex, and smoking history. Other risk factors include a case
history of abdominal aortic aneurysm, arteria coronaria disease, hypertension, peripheral artery disease, and former myocardial infarct. Diagnosis could also be made by physical examination, an incidental finding on imaging, or ultrasonography. The U.S. Preventive Services Task Force released updated recommendations for abdominal aortic aneurysm
screening in 2014. Men 65 to 75 years aged with a
history of smoking should undergo one-time
screening with ultrasonography supported evidence that
screening will improve abdominal aortic aneurysm–related mortality in this population. Men during this age bracket without a
history of smoking may benefit if they need other risk factors (e.g., case
history of abdominal aneurysm, other vascular aneurysms, arteria coronaria disease). There is inconclusive evidence to recommend
screening for abdominal aneurysm in women 65 to 75 years aged with a smoking history. Women without a smoking
history shouldn't undergo
screening because the harms likely outweigh the advantages. Persons who have a stable abdominal aneurysm should undergo regular surveillance or operative intervention counting on aneurysm size. Surgical intervention by open or endovascular repair is that the primary option and is usually reserved for aneurysms 5.5 cm in diameter or greater. There are limited options for medical treatment beyond risk factor modification. Ruptured abdominal aneurysm may be a medical emergency presenting with hypotension, shooting abdominal or back pain, and a pulsatile abdominal mass. It is associated with high prehospitalization mortality. Emergent surgical intervention is indicated for a rupture but has a high operative mortality rate.
High Impact List of Articles
Relevant Topics in Clinical