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Abdominal Aorta Screening During Routine Transthoracic Echocardiography in Zanzibar, Tanzania: The Zanzibar Heart Survey Cover

Abdominal Aorta Screening During Routine Transthoracic Echocardiography in Zanzibar, Tanzania: The Zanzibar Heart Survey

Open Access
|May 2025

References

  1. Nordon IM, Hinchliffe RJ, Loftus IM, Thompson MM. Pathophysiology and epidemiology of abdominal aortic aneurysms. Nat Rev Cardiol. 2011;8:92102. DOI: 10.1038/nrcardio.2010.180
  2. Kobeissi E, Hibino M, Pan H, Aune D. Blood pressure, hypertension and the risk of abdominal aortic aneurysms: A systematic review and meta-analysis of cohort studies. Eur J Epidemiol. 2019;34(6):547555. DOI: 10.1007/s10654-019-00510-9
  3. Gianfagna F, Veronesi G, Tozzi M, Tarallo A, Borchini R, Ferrario MM, Bertu L, et al. Prevalence of abdominal aortic aneurysms in the general population and in sub-groups at high cardiovascular risk in Italy. Results of the RoCAV Population Based Study. Eur J Vasc Endovasc Surg. 2018;55(5):633639. DOI: 10.1016/j.ejvs.2018.01.008
  4. Singh K, Bønaa KH, Jacobsen BK, Bjørk L, Solberg S. Prevalence of and risk factors for abdominal aortic aneurysms in a population-based study: The Tromsø Study. Am J Epidemiol. 2001;154(3):236244. DOI: 10.1093/aje/154.3.236
  5. Alcorn HG, Wolfson SK Jr., Sutton-Tyrrell K, Kuller LH, O’Leary D. Risk factors for abdominal aortic aneurysms in older adults enrolled in The Cardiovascular Health Study. Arterioscler Thromb Vasc Biol. 1996;16(8):963970. DOI: 10.1161/01.ATV.16.8.963
  6. Golledge J, Muller J, Daugherty A, Norman P. Abdominal aortic aneurysm: Pathogenesis and implications for management. Arterioscler Thromb Vasc Biol. 2006;26:26052613. DOI: 10.1161/01.ATV.0000245819.32762.cb
  7. Schanzer A, Oderich GS. Management of abdominal aortic aneurysms. N Engl J Med. 2021;385:16901698. DOI: 10.1056/NEJMcp2108504
  8. Hultgren R, Zommorodi S, Gambe M, Roy J. A majority of admitted patients with ruptured abdominal aortic aneurysm undergo and survive corrective treatment: A population-based retrospective cohort study. World J Surg. 2016;40:30803087. DOI: 10.1007/s00268-016-3705-9
  9. Lederle FA, Johnson GR, Wilson SE, Ballard DJ, Jordan WD, Blebea J, et al. Veterans Affairs Cooperative Study Investigators. Rupture rate of large abdominal aortic aneurysms in patients refusing or unfit for elective repair. JAMA. 2002;287:29682972. DOI: 10.1001/jama.287.22.2968
  10. Erbel R, Aboyans V, Boileau C, Bossone E, Bartolomeo RD, Eggebrecht H, et al. ESC Committee for Practice Guidelines. 2014 ESC Guidelines on the diagnosis and treatment of aortic diseases: Document covering acute and chronic aortic diseases of the thoracic and abdominal aorta of the adult. The Task Force for the Diagnosis and Treatment of Aortic Diseases of the European Society of Cardiology (ESC). Eur Heart J. 2014;35(41):28732926. DOI: 10.1093/eurheartj/ehu281
  11. Aboyans V, Bataille V, Bliscaux P, Ederhy S, Filliol D, Honton B, et al. Investigators of the E2T3A Study. Effectiveness of screening for abdominal aortic aneurysm during echocardiography. Am J Cardiol. 2014;114(7):11001104. DOI: 10.1016/j.amjcard.2014.07.024
  12. Mohamed Ali A, Khamis KM, Hauge SW, Hovstad T, Haaverstad R, Andemichael G, et al. The Zanzibar Heart Survey: A special report from a humanitarian cardiology program at the Mnazi Mmoja referral hospital, Zanzibar, United Republic of Tanzania by Haukeland University Hospital in Bergen, Norway. Curr Probl Cardiol. 2024;49(2):102339. DOI: 10.1016/j.cpcardiol.2023.102339
  13. Williams B, Mancia G, Spiering W, Agabiti Rosei E, Azizi M, Burnier M, et al. 2018 ESC/ESH guidelines for the management of arterial hypertension. The task force for the management of arterial hypertension of the European Society of Cardiology and the European Society of Hypertension. J Hypertens. 2018;36:19532041. DOI: 10.1097/HJH.0000000000001940
  14. Lang RM, Badano LP, Mor-Avi V, Afilalo J, Armstrong A, Ernande L, et al. Recommendations for cardiac chamber quantification by echocardiography in adults: An update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. J Am Soc Echocardiogr. 2015;28:139. DOI: 10.1016/j.echo.2014.10.003
  15. Devereux RB, Alonso DR, Lutas EM, Gottlieb GJ, Campo E, Sachs I, Reichek N. Echocardiographic assessment of left ventricular hypertrophy: Comparison to necropsy findings. Am J Cardiol. 1986 Feb 15;57(6):450458. DOI: 10.1016/0002-9149(86)90771-X
  16. Gürtelschmid M, Björck M, Wanhainen A. Comparison of three ultrasound methods of measuring the diameter of the abdominal aorta. Eur J Vasc Endovasc Surg. 2018;55:633639.
  17. Sampson UK, Norman PE, Fowkes FG, Aboyans V, Song Y, Harrell FE Jr., et al. Estimation of global and regional incidence and prevalence of abdominal aortic aneurysms 1990 to 2010. Glob Heart. 2014 Mar;9(1):159170. DOI: 10.1016/j.gheart.2013.12.009
  18. Ngetich E, Ward J, Cassimjee I, Lee R, Handa A (On behalf of the Oxford Abdominal Aortic Aneurysm OXAAA Group). Prevalence and epidemiological pattern of abdominal aortic aneurysms in Africa: A systematic review. J West Afr Coll Surg. 2020 Jan–Mar;10(1):314. DOI: 10.4103/jwas.jwas_15_21
  19. Ouarab C, Brouri M, Laroche JP, Ayoub S. Prevalence and risk factors of sub-renal abdominal aortic aneurysm in an Algerian population aged over 60. J Med Vasc. 2018 Dec;43(6):361368. DOI: 10.1016/j.jdmv.2018.10.002
  20. Celebi OO, Celebi S, Berkalp B. Appraisal of transthoracic echocardiography for opportunistic screening of abdominal aortic aneurysm. Medicine (Baltimore). 2021 Jun 4;100(22):e26171. DOI: 10.1097/MD.0000000000026171
  21. Ezenwugo UM, Okwudire EG, Njeze NR, Maduforo CO, Moemenam OO. Abdominal aortic diameter and its determinants among healthy adults in Port Harcourt, Nigeria. Niger J Clin Pract. 2020 Mar;23(3):310314. DOI: 10.4103/njcp.njcp_33_19
  22. The World Bank. Life expectancy at birth, total (years)—Sub-Saharan Africa | Data. 2018. Available from: https://data.worldbank.org/indicator/SP.DYN.LE00.IN?locations=ZG [Last accessed on 23 May 2020].
  23. Hsu CC, Chien WC, Wang JC, Chung CH, Liao WI, Lin WS, Lin CS, Tsai SH. Association between atrial fibrillation and aortic aneurysms: A population-based cohort study. J Vasc Res. 2018;55(5):299307. DOI: 10.1159/000493692
  24. Åström Malm I, De Basso R, Engvall J, Blomstrand P. Males with abdominal aortic aneurysm have reduced left ventricular systolic and diastolic function. Clin Physiol Funct Imaging. 2022;42(1):17. DOI: 10.1111/cpf.12728
  25. Raffort J, Lareyre F, Clément M, Hassen-Khodja R, Chinetti G, Mallat Z. Diabetes and aortic aneurysm: Current state of the art. Cardiovasc Res. 2018;114(13):17021713. DOI: 10.1093/cvr/cvy174
  26. Pafili K, Gouni-Berthold I, Papanas N, Mikhailidis DP. Abdominal aortic aneurysms and diabetes mellitus. J Diabetes Complications. 2015;29:13301336. DOI: 10.1016/j.jdiacomp.2015.08.011
  27. De Rango P, Farchioni L, Fiorucci B, Lenti M. Diabetes and abdominal aortic aneurysms. Eur J Vasc Endovasc Surg. 2014;47:243261. DOI: 10.1016/j.ejvs.2013.12.007
  28. Le MT, Jamrozik K, Davis TM, Norman PE. Negative association between infra-renal aortic diameter and glycaemia: The Health in Men Study. Eur J Vasc Endovasc Surg. 2007;33:599604. DOI: 10.1016/j.ejvs.2006.12.017
DOI: https://doi.org/10.5334/gh.1432 | Journal eISSN: 2211-8179
Language: English
Submitted on: Nov 4, 2024
Accepted on: May 12, 2025
Published on: May 30, 2025
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2025 Abukar Mohamed Ali, Khamis Mustafa Khamis, Ghirmay Andemichael, Muhiddin Abdi Mahmoud, Victor Aboyans, Sahrai Saeed, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.