Utilidad de la ecografía en el cribado del aneurisma de aorta abdominal en atención primaria

  1. Antonio López-Téllez 1
  2. José Manuel Ramírez Torres 1
  3. Estrella Pérez Vázquez 2
  4. Miguel Ángel Babiano Fernández 3
  5. Helena López-Martí 4
  6. Irene Zapata Martínez 5
  7. Cristóbal Trillo Fernández 1
  8. Manuel Frías Vargas 6
  9. María Dolores Domínguez Pinos 7
  10. Juan Fernando Peiró Morant 8
  11. José Antonio González-Fajardo 9
  12. Pedro Valdivielso Felices 7
  1. 1 Centro de Salud Puerta Blanca, Málaga, España
  2. 2 Centro de Salud Vielha, Consultorio local Naut Aran, Lleida, España
  3. 3 Centro de Salud Argamasilla de Calatrava, Ciudad Real, España
  4. 4 Universidad de Córdoba, Córdoba, España
  5. 5 Universidad de Málaga, Málaga, España
  6. 6 Centro de Salud San Andrés, Madrid, España; Universidad Complutense de Madrid, Madrid, España
  7. 7 Hospital Universitario Virgen de la Victoria, Málaga, España
  8. 8 Centro de Salud Ponent, Islas Baleares, España
  9. 9 Hospital Universitario 12 de Octubre, Madrid, España
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Revue:
Clínica e investigación en arteriosclerosis

ISSN: 0214-9168,  1578-1879

Année de publication: 2024

Volumen: 36

Número: 4

Pages: 218-226

Type: Article

DOI: 10.1016/J.ARTERI.2023.12.006 DIALNET GOOGLE SCHOLAR lock_openAccès ouvert editor

D'autres publications dans: Clínica e investigación en arteriosclerosis

Résumé

Introduction: Abdominal aortic aneurysm (AAA) constitutes a pathology with high mortality. There is currently no screening program implemented in primary care in Spain. Objectives: To evaluate the usefulness of ultrasound in the detection of AAA in the at-risk population in primary care. Secondarily, to identify subjects whose vascular risk (VR) should be reclassified and to determine whether AAA is associated with the presence of carotid plaque and other risk factors. Material and methods: Cross-sectional, descriptive, multicenter, national, descriptive study in primary care. Subjects: A consecutive selection of hypertensive males aged between 65 and 75 who are either smokers or former smokers, or individuals over the age of 50 of both sexes with a family history of AAA. Measurements: Diameter of abdominal aorta and iliac arteries; detection of abdominal aortic and carotid atherosclerotic plaque. VR was calculated at the beginning and after testing (SCORE). Results: One hundred and fifty patients were analyzed (age: 68.3 ± 5 years; 89.3% male). Baseline RV was high/very high in 55.3%. AAA was detected in 12 patients (8%; 95% CI: 4---12); aortic ectasia in 13 (8.7%); abdominal aortic plaque in 44% and carotid plaque in 62% of the participants. VR was reclassified in 50% of subjects. The detection of AAA or ectasia was associated with the presence of carotid plaque, current smoking and lipoprotein(a), p < 0.01. Conclusions: The prevalence of AAA in patients with VR is high. Ultrasound in primary care allows detection of AAA and subclinical atherosclerosis and consequently reclassification of the VR, demonstrating its utility in screening for AAA in the at-risk population.

La source de données: Dialnet