Oral Steroid Use and Abdominal Aortic Aneurysm Expansion ― Positive Association ―
Autor: | Keiichiro Kawamura, Noriyuki Miyama, Hitoshi Goto, Ken Tsuchida, Noriaki Ohuchi, Takuya Shimizu, Shunya Suzuki, Munetaka Hashimoto, Daijiro Akamatsu, Michihisa Umetsu, Yuta Tajima, Masato Ohara |
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Rok vydání: | 2017 |
Předmět: |
Angiotensin receptor
medicine.medical_specialty Aortic Rupture 030204 cardiovascular system & hematology Body weight Logistic regression Gastroenterology 03 medical and health sciences 0302 clinical medicine Risk Factors Internal medicine Multidetector Computed Tomography Humans Medicine 030212 general & internal medicine Risk factor Aged Retrospective Studies Univariate analysis business.industry Retrospective cohort study General Medicine medicine.disease Body Height Abdominal aortic aneurysm Oral steroid Disease Progression Cardiology Steroids Cardiology and Cardiovascular Medicine business Aortic Aneurysm Abdominal |
Zdroj: | Circulation Journal. 81:1774-1782 |
ISSN: | 1347-4820 1346-9843 |
DOI: | 10.1253/circj.cj-16-0902 |
Popis: | BACKGROUND The maximum axial diameter (MAD) of a fusiform abdominal aortic aneurysm (AAA) is an indicator of the risk of expansion or rupture. Apart from smoking and MAD itself, few expansion risk factors have been reported. In this study, we investigated expansion risk factors for AAA.Methods and Results:This retrospective cohort study included 176 patients who attended Tohoku University Hospital with infrarenal fusiform AAA. AAA expansion rate was determined on multidetector computed tomography, and the correlations between expansion rate and the clinical data were analyzed. The median expansion rate was 2.405 mm/year. On univariate analysis, a significant positive correlation with expansion rate was observed for the initial MAD (P |
Databáze: | OpenAIRE |
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