Aortic & peripheral vascular disease

Aortic aneurysms in a general population cohort: prevalence and risk factors in men and women

Eur Heart J Cardiovasc ImagingPublished Cross-sectional study

Authors' conclusion

Subclinical AAs are four times more prevalent in men than in women. In both sexes, increasing age and BSA are risk factors for AAs of any anatomical location. Whereas arterial hypertension is a risk factor for TAAs, hypercholesterolaemia and smoking are risk factors for AAAs.

Study context

Population
General population (Copenhagen General Population Study), mean age 62 (range 40–95) years, CT angiography of the aorta56% women
Participants
11,294 participants
Exposure
Men vs women
Outcome
Prevalence of TAA (ascending ≥45 mm, descending ≥35 mm) and AAA (abdominal ≥30 mm) and their risk factors
Methodological detailspopulation-based
  • Population-based

Main finding

As reported in the abstract

Prevalence of aortic aneurysms

P < 0.001

Prevalence in total population
2.1%

Observational data: associations, not effects.

Further findings

Risk factors for aortic aneurysms

Thoracic aortic aneurysm (TAA): hypertension, OR
2.0 (1.5-2.8) (95% CI)
Abdominal aortic aneurysm (AAA): hypercholesterolaemia, OR
2.4 (1.6-3.6) (95% CI)
AAA: smoking, OR
3.2 (1.9-5.4) (95% CI)
Aortic aneurysms (AAs) independently associated with male sex, increasing age and body surface area (BSA)

Original publication

Aortic aneurysms in a general population cohort: prevalence and risk factors in men and women. Eur Heart J Cardiovasc Imaging. Published 25 April 2024. doi:10.1093/ehjci/jeae103

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