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冠状动脉疾病和外周动脉疾病与腹主动脉瘤的存在、扩张及破裂之间的关联——无因而起的怪事!

Associations of coronary and peripheral artery disease with presence, expansion, and rupture of abdominal aortic aneurysm - a grin without a cat!

作者信息

Takagi Hisato, Umemoto Takuya

机构信息

1 Shizuoka Medical Center, Shizuoka, Japan.

出版信息

Vasa. 2017 May;46(3):151-158. doi: 10.1024/0301-1526/a000606. Epub 2017 Feb 20.

Abstract

Both coronary and peripheral artery disease are representative atherosclerotic diseases, which are also known to be positively associated with presence of abdominal aortic aneurysm. It is still controversial, however, whether coronary and peripheral artery disease are positively associated with expansion and rupture as well as presence of abdominal aortic aneurysm. In the present article, we overviewed epidemiological evidence, i. e. meta-analyses, regarding the associations of coronary and peripheral artery disease with presence, expansion, and rupture of abdominal aortic aneurysm through a systematic literature search. Our exhaustive search identified seven meta-analyses, which suggest that both coronary and peripheral artery disease are positively associated with presence of abdominal aortic aneurysm, may be negatively associated with expansion of abdominal aortic aneurysm, and might be unassociated with rupture of abdominal aortic aneurysm.

摘要

冠状动脉疾病和外周动脉疾病都是典型的动脉粥样硬化性疾病,已知它们也与腹主动脉瘤的存在呈正相关。然而,冠状动脉疾病和外周动脉疾病是否与腹主动脉瘤的扩张、破裂以及存在呈正相关仍存在争议。在本文中,我们通过系统的文献检索,概述了关于冠状动脉疾病和外周动脉疾病与腹主动脉瘤的存在、扩张和破裂之间关联的流行病学证据,即荟萃分析。我们详尽的检索确定了七项荟萃分析,这些分析表明冠状动脉疾病和外周动脉疾病均与腹主动脉瘤的存在呈正相关,可能与腹主动脉瘤的扩张呈负相关,并且可能与腹主动脉瘤的破裂无关。

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