Aortic aneurysm screening in a high-risk population: A non-contrast computed tomography study in Korean males with hypertension

In Jeong Cho, Sung Yeol Jang, Hyuk Jae Chang, Sanghoon Shin, Chi Young Shim, Geu Ru Hong, Namsik Chung

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Background and Objectives: Screening strategies for aortic aneurysm (AA) according to risk factors and ethnicity are controversial. This study explored the prevalence of AA and determined whether screening is necessary in a population of multiple risk factors. Subjects and Methods: From June, 2012 to April, 2013, 542 consecutive elderly (≥65 years) male hypertensive patients without a history of AA were prospectively enrolled. After excluding 15 patients (2.8%) with aortic valve surgery, 30 patients (5.5%) with suboptimal computed tomography (CT) images, the remaining 496 patients (age 73±5 years) comprised the study population. Maximal diameters of the thoracic and abdominal aorta were measured using non-contrast CT. Results: The prevalence of thoracic AA (TAA, diameter ≥40 mm) and abdominal AA (AAA, diameter ≥30 mm) was 36.5% (181/496) and 6.0% (30/496), respectively. In the multivariate logistic regression analysis, determinants for TAA were age {odds ratio (OR) 1.059, 95% confidence interval (CI) 1.018-1.101, p=0.005}, dyslipidemia (OR 0.621, 95% CI 0.418-0.923, p=0.018), body surface area (OR 11.92, 95% CI 2.787-50.97, p=0.001), diastolic blood pressure (OR 1.029, 95% CI 1.009-1.049, p=0.004) and AAA (OR 3.070, 95% CI 1.398-6.754, p=0.005). In contrast, AAA was independently associated with dysplipidemia (OR 2.792, 95% CI 1.091-7.143, p=0.032), current/past smokers (OR 4.074, 95% CI 1.160-14.31, p=0.028), and TAA (OR 3.367, 95% CI 1.550-7.313, p=0.002). Conclusion: The prevalence of AA was significant and TAA was more prevalent than AAA in elderly Korean males with hypertension. Future research should establish distinct screening strategies for TAA and AAA according to risk factors and ethnicity.

Original languageEnglish
Pages (from-to)162-169
Number of pages8
JournalKorean Circulation Journal
Volume44
Issue number3
DOIs
Publication statusPublished - 2014 May

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Aortic Aneurysm
Odds Ratio
Tomography
Confidence Intervals
Hypertension
Population
Blood Pressure
Thoracic Aortic Aneurysm
Body Surface Area
Abdominal Aorta
Abdominal Aortic Aneurysm
Dyslipidemias
Thoracic Aorta
Aortic Valve
Cross-Sectional Studies
Logistic Models
Regression Analysis

All Science Journal Classification (ASJC) codes

  • Internal Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

@article{a38d710c96c54b4a855622e50b6d0663,
title = "Aortic aneurysm screening in a high-risk population: A non-contrast computed tomography study in Korean males with hypertension",
abstract = "Background and Objectives: Screening strategies for aortic aneurysm (AA) according to risk factors and ethnicity are controversial. This study explored the prevalence of AA and determined whether screening is necessary in a population of multiple risk factors. Subjects and Methods: From June, 2012 to April, 2013, 542 consecutive elderly (≥65 years) male hypertensive patients without a history of AA were prospectively enrolled. After excluding 15 patients (2.8{\%}) with aortic valve surgery, 30 patients (5.5{\%}) with suboptimal computed tomography (CT) images, the remaining 496 patients (age 73±5 years) comprised the study population. Maximal diameters of the thoracic and abdominal aorta were measured using non-contrast CT. Results: The prevalence of thoracic AA (TAA, diameter ≥40 mm) and abdominal AA (AAA, diameter ≥30 mm) was 36.5{\%} (181/496) and 6.0{\%} (30/496), respectively. In the multivariate logistic regression analysis, determinants for TAA were age {odds ratio (OR) 1.059, 95{\%} confidence interval (CI) 1.018-1.101, p=0.005}, dyslipidemia (OR 0.621, 95{\%} CI 0.418-0.923, p=0.018), body surface area (OR 11.92, 95{\%} CI 2.787-50.97, p=0.001), diastolic blood pressure (OR 1.029, 95{\%} CI 1.009-1.049, p=0.004) and AAA (OR 3.070, 95{\%} CI 1.398-6.754, p=0.005). In contrast, AAA was independently associated with dysplipidemia (OR 2.792, 95{\%} CI 1.091-7.143, p=0.032), current/past smokers (OR 4.074, 95{\%} CI 1.160-14.31, p=0.028), and TAA (OR 3.367, 95{\%} CI 1.550-7.313, p=0.002). Conclusion: The prevalence of AA was significant and TAA was more prevalent than AAA in elderly Korean males with hypertension. Future research should establish distinct screening strategies for TAA and AAA according to risk factors and ethnicity.",
author = "Cho, {In Jeong} and Jang, {Sung Yeol} and Chang, {Hyuk Jae} and Sanghoon Shin and Shim, {Chi Young} and Hong, {Geu Ru} and Namsik Chung",
year = "2014",
month = "5",
doi = "10.4070/kcj.2014.44.3.162",
language = "English",
volume = "44",
pages = "162--169",
journal = "Korean Circulation Journal",
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Aortic aneurysm screening in a high-risk population : A non-contrast computed tomography study in Korean males with hypertension. / Cho, In Jeong; Jang, Sung Yeol; Chang, Hyuk Jae; Shin, Sanghoon; Shim, Chi Young; Hong, Geu Ru; Chung, Namsik.

In: Korean Circulation Journal, Vol. 44, No. 3, 05.2014, p. 162-169.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Aortic aneurysm screening in a high-risk population

T2 - A non-contrast computed tomography study in Korean males with hypertension

AU - Cho, In Jeong

AU - Jang, Sung Yeol

AU - Chang, Hyuk Jae

AU - Shin, Sanghoon

AU - Shim, Chi Young

AU - Hong, Geu Ru

AU - Chung, Namsik

PY - 2014/5

Y1 - 2014/5

N2 - Background and Objectives: Screening strategies for aortic aneurysm (AA) according to risk factors and ethnicity are controversial. This study explored the prevalence of AA and determined whether screening is necessary in a population of multiple risk factors. Subjects and Methods: From June, 2012 to April, 2013, 542 consecutive elderly (≥65 years) male hypertensive patients without a history of AA were prospectively enrolled. After excluding 15 patients (2.8%) with aortic valve surgery, 30 patients (5.5%) with suboptimal computed tomography (CT) images, the remaining 496 patients (age 73±5 years) comprised the study population. Maximal diameters of the thoracic and abdominal aorta were measured using non-contrast CT. Results: The prevalence of thoracic AA (TAA, diameter ≥40 mm) and abdominal AA (AAA, diameter ≥30 mm) was 36.5% (181/496) and 6.0% (30/496), respectively. In the multivariate logistic regression analysis, determinants for TAA were age {odds ratio (OR) 1.059, 95% confidence interval (CI) 1.018-1.101, p=0.005}, dyslipidemia (OR 0.621, 95% CI 0.418-0.923, p=0.018), body surface area (OR 11.92, 95% CI 2.787-50.97, p=0.001), diastolic blood pressure (OR 1.029, 95% CI 1.009-1.049, p=0.004) and AAA (OR 3.070, 95% CI 1.398-6.754, p=0.005). In contrast, AAA was independently associated with dysplipidemia (OR 2.792, 95% CI 1.091-7.143, p=0.032), current/past smokers (OR 4.074, 95% CI 1.160-14.31, p=0.028), and TAA (OR 3.367, 95% CI 1.550-7.313, p=0.002). Conclusion: The prevalence of AA was significant and TAA was more prevalent than AAA in elderly Korean males with hypertension. Future research should establish distinct screening strategies for TAA and AAA according to risk factors and ethnicity.

AB - Background and Objectives: Screening strategies for aortic aneurysm (AA) according to risk factors and ethnicity are controversial. This study explored the prevalence of AA and determined whether screening is necessary in a population of multiple risk factors. Subjects and Methods: From June, 2012 to April, 2013, 542 consecutive elderly (≥65 years) male hypertensive patients without a history of AA were prospectively enrolled. After excluding 15 patients (2.8%) with aortic valve surgery, 30 patients (5.5%) with suboptimal computed tomography (CT) images, the remaining 496 patients (age 73±5 years) comprised the study population. Maximal diameters of the thoracic and abdominal aorta were measured using non-contrast CT. Results: The prevalence of thoracic AA (TAA, diameter ≥40 mm) and abdominal AA (AAA, diameter ≥30 mm) was 36.5% (181/496) and 6.0% (30/496), respectively. In the multivariate logistic regression analysis, determinants for TAA were age {odds ratio (OR) 1.059, 95% confidence interval (CI) 1.018-1.101, p=0.005}, dyslipidemia (OR 0.621, 95% CI 0.418-0.923, p=0.018), body surface area (OR 11.92, 95% CI 2.787-50.97, p=0.001), diastolic blood pressure (OR 1.029, 95% CI 1.009-1.049, p=0.004) and AAA (OR 3.070, 95% CI 1.398-6.754, p=0.005). In contrast, AAA was independently associated with dysplipidemia (OR 2.792, 95% CI 1.091-7.143, p=0.032), current/past smokers (OR 4.074, 95% CI 1.160-14.31, p=0.028), and TAA (OR 3.367, 95% CI 1.550-7.313, p=0.002). Conclusion: The prevalence of AA was significant and TAA was more prevalent than AAA in elderly Korean males with hypertension. Future research should establish distinct screening strategies for TAA and AAA according to risk factors and ethnicity.

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