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A Journal on Angiology

Official Journal of the International Union of Angiology, the International Union of Phlebology and the Central European Vascular Forum
Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
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International Angiology 2017 August;36(4):322-31

DOI: 10.23736/S0392-9590.16.03762-7


language: English

Association of chronic obstructive pulmonary, coronary artery, or peripheral artery disease with abdominal aortic aneurysm rupture

Hisato TAKAGI , Takuya UMEMOTO, on behalf of ALICE (All-Literature Investigation of Cardiovascular Evidence) Group 

Department of Cardiovascular Surgery, Shizuoka Medical Center, Shizuoka, Japan


BACKGROUND: Chronic obstructive pulmonary disease (COPD), coronary artery disease (CAD), and peripheral artery disease (PAD) are positively associated with abdominal aortic aneurysm (AAA) presence. It remains unclear, however, whether these 3 comorbidities are associated with AAA rupture. To assess the association of COPD, CAD, or PAD with AAA rupture, we reviewed currently available studies with a systematic literature search and meta-analytic estimates.
METHODS: Databases including MEDLINE and EMBASE were searched through December 2015 using PubMed and OVID. For each study, data regarding prevalence of COPD, CAD, or PAD in both the ruptured and non-ruptured groups were used to generate odds ratios (ORs) for rupture and 95% confidence intervals (CIs). Study-specific estimates were combined using inverse variance-weighted averages of logarithmic ORs in a random-effects model.
RESULTS: Our search identified 9 relevant studies including data on a total of 8873 AAA patients (rupture, 1241; non-rupture, 7632). Pooled analyses demonstrated that COPD was significantly and positively (OR, 1.51; 95% CI, 1.06 to 2.16; P=0.02), CAD was not significantly (OR, 0.83; 95% CI, 0.43 to 1.60; P=0.58), and PAD tended to be negatively (though non-significantly) associated with AAA rupture (OR, 0.44; 95% CI, 0.16 to 1.23; P=0.12).
CONCLUSIONS: Our analysis suggests that COPD is positively associated with AAA rupture, CAD is not associated with it, and PAD tends to be negatively associated with it. Further investigations would be required to understand precise mechanisms regarding the association of COPD, CAD, and PAD with AAA presence, growth, and rupture.

KEY WORDS: Aortic aneurysm, abdominal - Pulmonary disease, chronic obstructive - Coronary artery disease - Meta-analysis - Peripheral artery disease.

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Publication History

Issue published online: June 8, 2017
Article first published online: September 8, 2016
Manuscript accepted: September 6, 2016
Manuscript received: August 11, 2016

Cite this article as

Takagi H, Umemoto T; ALICE (All-Literature Investigation of Cardiovascular Evidence) Group. Association of chronic obstructive pulmonary, coronary artery, or peripheral artery disease with abdominal aortic aneurysm rupture. Int Angiol 2017;36:322-31. DOI: 10.23736/S0392-9590.16.03762-7

ALICE (All-Literature Investigation of Cardiovascular Evidence) Group

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