Prevalence and Characteristics of Major Vascular Diseases of Elderly Men in the Incheon Area.
10.4174/jkss.2010.78.5.305
- Author:
Jang Yong KIM
1
;
Yong Sun JEON
;
Soon Gu CHO
;
Eunmi KONG
;
Ji eun JUNG
;
Shin Goo PARK
;
Jae Sung CHO
;
Kyung Rae KIM
;
Seok Hwan SHIN
;
Seung Ik AHN
;
Young Up CHO
;
Sei Joong KIM
;
Keon Young LEE
;
Yoon Seok HUR
;
Sun Keun CHOI
;
Yun Mee CHOE
;
Kee Chun HONG
Author Information
1. Department of Surgery, Inha University School of Medicine, Incheon, Korea. keechong@inha.ac.kr
- Publication Type:Original Article
- Keywords:
Screening;
Prevalence;
Carotid artery stenosis;
Abdominal aortic aneurysm;
Peripheral vascular disease
- MeSH:
Aged;
Aged, 80 and over;
Aging;
Ankle Brachial Index;
Aortic Aneurysm, Abdominal;
Arterial Occlusive Diseases;
Axis, Cervical Vertebra;
Carotid Stenosis;
Coronary Artery Disease;
Diabetes Mellitus;
Dyslipidemias;
Humans;
Hypertension;
Korea;
Lower Extremity;
Male;
Mass Screening;
Obesity;
Peripheral Vascular Diseases;
Prevalence;
Smoke;
Smoking;
Vascular Diseases
- From:Journal of the Korean Surgical Society
2010;78(5):305-313
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: As Korea is an aging society (WHO classification) and projected to be an aged society in 10 years, peripheral vascular diseases (PVD) in the elderly population has emerged as an important social and medical issue. But their prevalence was rarely reported in Korea. The purpose of this study is to define the prevalence of carotid artery stenosis (CAS), abdominal aortic aneurysm (AAA), and peripheral arterial occlusive disease (PAOD) of lower limb in the Incheon area. METHODS: Elderly men (> or =65 years) were referred randomly from the Incheon Federation of Korean Senior Citizens' Association (from Nov 2008 to Sep 2009) to Inha Univeristy Hospital, Incheon, Korea for a PVD screening program. The subjects were screened for CAS and AAA by duplex. CAS was defined as > or =50% internal CAS and AAA as > or =3 cm aortic diameter in minor axis. PAOD of lower limb was screened by measurement of ankle brachial index (ABI); ABI of < or =0.9 was considered abnormal. RESULTS: 1150 subjects were screened including 103 octogenarians (9.0%). Mean age was 72.3+/-0.2 years. Combined conditions were hypertension (54.3%), diabetes mellitus (25.2%), coronary artery disease (15.6%), dyslipidemia (18.9%), obesity (31.1%) and smoking history (71.7%). CAS was detected in 7.7% (89/1,150) subjects. Thirty-three (2.9%) were diagnosed with AAA. PAOD was detected in 50 subjects (4.4%). CONCLUSION: Prevalence of PVD in Korea is not lower compared to that of western countries, especially the USA and the UK. A nationwide program for timely detection and treatment for PVD should be developed.