Incidence and risk factors of coronary artery disease in elderly patients with abdominal aortic aneurysm

VernacularTitle:老年腹主动脉瘤患者冠状动脉造影的临床意义
Author: Yuan LIU ¹ ; Jian-Fang LUO ; Wen-Hui HUANG ; Hui-Yong WANG ; Nian-Jin XIE ; Rui-Xin FAN ; Shao-Hong MA ; Ji-Yan CHEN
Author Information

1. 广东省心血管病研究所广东省人民医院
Keywords: Aortic aneurysm,abdominal; Coronary disease; Angiocardiography
From: Chinese Journal of Cardiology 2011;39(1):53-56
CountryChina
Language:Chinese
Abstract: Objective To explore the prevalence of coronary artery disease and risk factors in patients with abdominal aortic aneurysm(AAA).MethodsCoronary angiography was performed immediately after abdominal angiography in 70 elderly(＞50 years)consecutive patients with AAA. Medical history and imaging characteristics were evaluated. Results CAD was diagnosed in 63 patients(90. 0%)by coronary angiography: 20(28.6%)patients with single-vessel disease(SVD), 15(21.4%)with 2VD, 22(31.4%)with 3VD and 6(8. 6%)with left main disease + 3VD. Multi-variance logistic analysis showed that peripheral disease was the strongest predictor for CAD in AAA patients. Conclusion Coronary angiography should be performed in elderly AAA patients due to the high prevalence of CAD in this patient cohort.