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Resumen
Objetivos
Conocer la prevalencia de los aneurismas de aorta abdominal infrarrenal (AAA) en pacientes con isquemia crónica de extremidades y comprobar si la isquemia crónica constituye un factor de riesgo para el desarrollo de los AAA
Pacientes Y MétodosSe han estudiado dos grupos: el primero (grupo estadio), formado por 500 varones de 55 años con isquemia crónica de las extremidades y el segundo (grupo control), formado por 200 pacientes con las mimas edades y con patología prostática pero sin clínica isquémica. A los pacientes de ambos grupos se les realizó un estudio ecográfico abdomino-pélvico para determinar el diámetro aórtico
ResultadosEntre los dos grupos no se encontraron diferencias significativas en lo que respecta a las características demográficas ni en los factores de riesgo cardiovascular. Sin embargo, la prevalencia de los AAA en el grupo a estudio fue del 14,2%, mientras que en el grupo control fue de 4,7%, siendo esta diferencia estadísticamente significativa
ConclusionesLa prevalencia de los AAA entre los pacientes varones, mayores de 55 años y con isquemia crónica de las extremidades y en nuestro medio, es significativamente mayor que en la población general porlo que se considera un “grupo de riesgo” para esta patología
Summary
Objective
To Know the prevalence of infrarenal abdominal aortic aneurysms (AAA) in patients suffering of chronic limb ischaemia and to check if chronic limb ischaemia is a risk factor for the development of AAA
Patients And MethodTwo groups have been studied: First of them (study group) have been make up with five hundred 55 years old me with chronic ischaemia of lower limbs, and the second (control group) have been constituted with 200 men of the sane age and prostatic pathology but without ischaemic clinic. An abdominal and pelvic echographic study was performed in patients of both groups to value the aortic diameter
ResultsThere were no statistical difference between both groups in terms of demographic characteristics nor cardiovascular risk factors. However, the AAA prevalence was of 14,2% in the study group while in control group was of 4,7%. This difference was statistically significative
ConclusionsIn our environment, prevalence of AAA between men older than 55 years is significatively major than in general population. For this, chronic ischaemia of lower limbs can be considered a risk factor in the development of AAA
Laburpena
Helburuak
Gorputz-adarretakoiskemia kronikodun pazienteengan dagoen giltzurrunmailaren peko aorta-aunerisma abdominalen (AAA) prebalentzia ezagutzea eta iskemia kronikoa AAAk garatzeko arrisku-faktorea den aztertzea
Pazienteak Eta MetodoakBi talde aztertudira: lehenengoa (azterketa-taldea) gorputzadarretako iskemia kronika duten 55 urteko 500 gizonezkok osatzen dute, eta bigarren (kontrol-taldea) klinika iskemikorik ez baina prostatako patologia duten adin bereko 200 pazientek. Bi taldeetako pazienteei ekografia bidezko azterketa abdominopelbikoaegin zitzaien aortaren diametroa zehazteko
EmaitzakBi taldeen artean ez zen alde esanguratsurik aurkitu ezaugarri demografikoei nahiz arrisku-faktore kardiobaskularrei dagokienez. Halere, AAAen prebalentzia %14,2koa izan zen azterketa-taldean eta %4,7koa kontrol-taldean; aldea, kasu honetan, estadistikoki esanguratsua da
OndorioakAAAen prebalentzia, gure ingurunean, gorputz-adarretako iskemia kronikoa duten 55 urte baino gehiagoko paziente gizonezkoengan nabarmen hadiagoada populazio orokorrean baino, eta, ondorioz, hura arrisku-taldea da aipatutako patologiari dagokionez
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