RT Journal Article
T1 Utilidad de la ecografía en el cribado del aneurisma de aorta abdominal en atención primaria.
T2 Ultrasound screening for abdominal aortic aneurysm in primary care.
A1 López Téllez, Antonio
A1 Ramírez-Torres, José Manuel
A1 Pérez Vázquez, Estrella
A1 Babiano Fernández, Miguel Ángel
A1 López-Martí, Helena
A1 Zapata Martínez, Irene
A1 Trillo Fernández, Cristóbal
A1 Frías Vargas, Manuel
A1 Domínguez-Pinos, Dolores
A1 Peiró Moranti, Juan Fernando
A1 González-Fajardo, Jose Antonio
A1 Valdivielso-Felices, Pedro
K1 Aneurismas aórticos
K1 Diagnóstico por imagen
K1 Ecografía
K1 Atención primaria
AB 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-riskpopulation in Primary care. Secondarily, to identify subjects whose vascular risk (VR) should bereclassified and to determine whether AAA is associated with the presence of carotid plaqueand other risk factors. Material and methods: Cross-sectional, descriptive, multicenter, national, descriptive study inPrimary care. Subjects: A consecutive selection of hypertensive males aged between 65 and 75who are either smokers or former smokers, or individuals over the age of 50 of both sexes witha family history of AAA.Measurements: Diameter of abdominal aorta and iliac arteries; detection of abdominal aor-tic and carotid atherosclerotic plaque. VR was calculated at the beginning and after testing(SCORE).Results: 150 patients were analyzed (age: 68.3 ± 5 years; 89.3% male). Baseline RV washigh/very high in 55.3%. AAA was detected in 12 patients (8%; 95%CI: 4---12); aortic ectasiain 13 (8.7%); abdominal aortic plaque in 44% and carotid plaque in 62% of the participants. VRwas reclassified in 50% of subjects. The detection of AAA or ectasia was associated with thepresence 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 careallows detection of AAA and subclinical atherosclerosis and consequently reclassification of theVR, demonstrating its utility in screening for AAA in the at-risk population.
PB Elsevier
YR 2024
FD 2024-02-12
LK https://hdl.handle.net/10630/33859
UL https://hdl.handle.net/10630/33859
LA spa
NO López-Téllez A, Ramírez Torres JM, Pérez Vázquez E, Babiano Fernández MÁ, López-Martí H, Zapata Martínez I, Trillo Fernández C, Frías Vargas M, Domínguez Pinos MD, Peiró Morant JF, González-Fajardo JA, Valdivielso Felices P; en representación del Grupo de Trabajo de Vasculopatías de SEMERGEN. Ultrasound screening for abdominal aortic aneurysm in primary care. Clin Investig Arterioscler. 2024 Jul-Aug;36(4):218-226. English, Spanish. doi: 10.1016/j.arteri.2023.12.006. Epub 2024 Feb 12. PMID: 38350793.
NO https://v2.sherpa.ac.uk/id/publication/19918
NO This study was partially funded by a FEA/SEA 2022 grant forPrimary Care Research and an unconditional grant from theNaut de Aran Town Council (Lleida). There was no participa-tion of any kind from these institutions.
DS RIUMA. Repositorio Institucional de la Universidad de Málaga
RD 20 ene 2026