Abdominal aortic aneurysm: An illustrated narrative review

Crawford, CM, Hurtgen-Grace, K, Talarico, E and Marley, J (2003) Abdominal aortic aneurysm: An illustrated narrative review. Journal of Manipulative And Physiological Therapeutics, 26 3: 184-195.


Author Crawford, CM
Hurtgen-Grace, K
Talarico, E
Marley, J
Title Abdominal aortic aneurysm: An illustrated narrative review
Journal name Journal of Manipulative And Physiological Therapeutics   Check publisher's open access policy
ISSN 0161-4754
Publication date 2003
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1016/S0161-4754(02)54111-7
Volume 26
Issue 3
Start page 184
End page 195
Total pages 12
Place of publication St Louis
Publisher Mosby, Inc
Language eng
Abstract Objective: To present a descriptive review of abdominal aortic aneurysm (AAA), including a review of risk factors for and case finding in AAA for chiropractors as primary contact health care practitioners. Data Sources: Clinical and scientific literature identified through various sources including MEDLINE and citation tracking. Data Synthesis: Selective narrative review of relevant literature. Results: AAA may be asymptomatic; however, back pain is a common presenting feature. Risk factors include male gender, increasing age, cigarette smoking, hypertension, chronic obstructive airway disease, claudication, and AAA in a first-degree relative. AAA should be considered in the differential diagnosis of older white patients, especially males, with low back pain. Estimated prevalence for AAAs in older males is in the order of 3% to 5%; rupture accounts for 1.7% of deaths in men aged 65 to 75 years. Elective surgical resection of AAAs (prior to rupture) offers a low operative mortality and good prognosis. Conclusion: AAA should be considered in the differential diagnosis of older patients presenting with low back pain and those with risk factors for AAA. Chiropractors, as primary contact health care practitioners, have a responsibility to refer patients suspected of having AAA for appropriate imaging and, where indicated, vascular surgical opinion.
Keyword Health Care Sciences & Services
Integrative & Complementary Medicine
Rehabilitation
abdominal aneurysm
chiropractic
diagnosis
low back pain
Physical-examination
Mr-angiography
Risk-factors
Men
Pathogenesis
Ultrasound
Population
Surgery
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown
Additional Notes This document is a journal review.

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Faculty of Health and Behavioural Sciences -- Publications
Excellence in Research Australia (ERA) - Collection
 
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Created: Fri, 25 Jan 2008, 15:55:23 EST