A Systematic Review and Meta-Analysis of the Incidence and Risk Factors for Major Adverse Cardiovascular Events in Patients with Unrepaired Abdominal Aortic Aneurysms.

abdominal aortic aneurysm cardiovascular death myocardial infarction stroke

Journal

Biomedicines
ISSN: 2227-9059
Titre abrégé: Biomedicines
Pays: Switzerland
ID NLM: 101691304

Informations de publication

Date de publication:
14 Apr 2023
Historique:
received: 27 02 2023
revised: 03 04 2023
accepted: 04 04 2023
medline: 16 5 2023
pubmed: 16 5 2023
entrez: 16 5 2023
Statut: epublish

Résumé

Major adverse cardiovascular events (MACE), including myocardial infarction (MI), stroke and cardiovascular death, cause substantial morbidity and mortality. This review assessed the incidence rate of MACE and the association with modifiable risk factors (diabetes, hypertension) and medication use (aspirin, statins) in patients with unrepaired abdominal aortic aneurysm (AAA). Electronic databases were searched systematically for observational studies reporting the incidence of MI, stroke or cardiovascular death in patients with unrepaired AAAs. The primary outcome was cardiovascular death reported as an incidence rate (events per 100 person-years (PY)). Fourteen studies, including 69,579 participants with a mean follow-up time of 5.4 years, were included. Meta-analysis revealed the overall incidence of cardiovascular death, MI and stroke of 2.31 per 100 PY (95% CI, 1.63-3.26; I

Identifiants

pubmed: 37189797
pii: biomedicines11041178
doi: 10.3390/biomedicines11041178
pmc: PMC10135825
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Subventions

Organisme : National Health and Medical Research Council
ID : 1117601

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Auteurs

Chinmay Sharma (C)

Queensland Research Centre for Peripheral Vascular Disease, College of Medicine and Dentistry, James Cook University, Townsville, QLD 4811, Australia.

Tejas P Singh (TP)

Department of Vascular and Endovascular Surgery, Townsville University Hospital, Townsville, QLD 4811, Australia.

Shivshankar Thanigaimani (S)

Queensland Research Centre for Peripheral Vascular Disease, College of Medicine and Dentistry, James Cook University, Townsville, QLD 4811, Australia.
The Australian Institute of Tropical Health and Medicine, James Cook University, Townsville, QLD 4811, Australia.

Domenico Nastasi (D)

Department of Vascular and Endovascular Surgery, Gold Coast University Hospital, Southport, QLD 4215, Australia.

Jonathan Golledge (J)

Queensland Research Centre for Peripheral Vascular Disease, College of Medicine and Dentistry, James Cook University, Townsville, QLD 4811, Australia.
Department of Vascular and Endovascular Surgery, Townsville University Hospital, Townsville, QLD 4811, Australia.
The Australian Institute of Tropical Health and Medicine, James Cook University, Townsville, QLD 4811, Australia.

Classifications MeSH