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Cardiovascular Health in Men Attending for Abdominal Aortic Aneurysm Screening

Published:February 14, 2006DOI:https://doi.org/10.1016/j.amjcard.2005.12.001
      We read with great interest the recent report by Madaric et al
      • Madaric J.
      • Vulev I.
      • Bartunek J.
      • Mistrik A.
      • Verhamme K.
      • DeBruyne B.
      • Riecansky I.
      Frequency of abdominal aortic aneurysm in patients >60 years of age with coronary artery disease.
      concerning screening of patients with cardiovascular disease for abdominal aortic aneurysm (AAA). However, we believe the important message they convey touches on a bigger issue. Although AAA screening significantly impacts on disease-specific mortality,
      The Multicentre Aneurysm Screening Study Group
      The Multicentre Aneurysm Screening Study (MASS) into the effect of abdominal aortic aneurysm screening on mortality in men a randomised controlled trial.
      it is the concomitant systemic atherosclerosis that remains the major impediment to improved longevity in men >60 years old whether they have AAA or not (ruptured AAA only account for 1/10 of all deaths from cardiovascular disease in men >65 years).
      • Newman A.B.
      • Arnold A.M.
      • Burke G.L.
      • O’Leary D.H.
      • Manolio T.A.
      Cardiovascular disease and mortality in older adults with small abdominal aortic aneurysms detected by ultrasonography The Cardiovascular Health Study.
      The United Kingdom Small Aneurysm Trial Participants
      Long-term outcomes of immediate repair compared with surveillance of small abdominal aortic aneurysms.
      Despite this, studies promoting AAA screening (and disease-specific screening programs in general) have consistently expected all-cause mortality rates to ameliorate in the aftermath of their successful implementation.
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      References

        • Madaric J.
        • Vulev I.
        • Bartunek J.
        • Mistrik A.
        • Verhamme K.
        • DeBruyne B.
        • Riecansky I.
        Frequency of abdominal aortic aneurysm in patients >60 years of age with coronary artery disease.
        Am J Cardiol. 2005; 96: 1214-1216
        • The Multicentre Aneurysm Screening Study Group
        The Multicentre Aneurysm Screening Study (MASS) into the effect of abdominal aortic aneurysm screening on mortality in men.
        Lancet. 2002; 360: 1531-1539
        • Newman A.B.
        • Arnold A.M.
        • Burke G.L.
        • O’Leary D.H.
        • Manolio T.A.
        Cardiovascular disease and mortality in older adults with small abdominal aortic aneurysms detected by ultrasonography.
        Ann Intern Med. 2001; 134: 182-190
        • The United Kingdom Small Aneurysm Trial Participants
        Long-term outcomes of immediate repair compared with surveillance of small abdominal aortic aneurysms.
        N Engl J Med. 2002; 346: 1445-1452
        • Waterhouse D.F.
        • Cahill R.A.
        • Sheehan F.
        • Sheehan S.J.
        Concomitant detection of systemic atherosclerotic disease while screening for abdominal aortic aneurysm.
        World J Surg. 2006; (in press.)
        • Conroy R.M.
        • Pyorala K.
        • Fitzgerald A.P.
        • Sans S.
        • Menotti A.
        • DeBacker G.
        • DeBacquer D.
        • Ducimetiere P.
        • Jousilahti P.
        • Keil U.
        • et al.
        Estimation of ten-year risk of fatal cardiovascular disease in Europe.
        Eur Heart J. 2003; 24: 987-1003
        • Wilson P.W.
        • D’Agostino R.B.
        • Levy D.
        • Belanger A.M.
        • Silbershatz H.
        • Kannel W.B.
        Prediction of coronary heart disease using risk factor categories.
        Circulation. 1998; 97: 1837-1847