{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T14:03:23Z","timestamp":1787321003214,"version":"build-2736575974"},"reference-count":49,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2015,5,14]],"date-time":"2015-05-14T00:00:00Z","timestamp":1431561600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2015,6,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Screening for abdominal aortic aneurysm (AAA) has reduced the rate of AAA rupture. However, cardiovascular disease is still a major cause of death in men with an AAA. The aim of this study was to assess cardiovascular risk in patients with a small AAA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Standard PRISMA guidelines were followed. Analysis was performed of studies reporting cardiovascular outcomes in patients with a small AAA (30\u201354 mm). Weighted metaregression was performed for cardiovascular death in patients with a small AAA, and the prevalence of cardiovascular disease was reviewed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twenty-one articles were identified describing patients with an AAA, and the prevalence of, and death from, cardiovascular disease. Ten of these reported cardiovascular death rates in patients with a small AAA. Some 2323 patients with a small AAA were identified; 335 cardiovascular deaths occurred, of which 37 were due to AAA rupture. Metaregression demonstrated that the risk of cardiovascular death was 3\u00b70 (95 per cent c.i. 1\u00b77 to 4\u00b73) per cent per year in patients with a small AAA (R2 = 0\u00b7902, P &amp;lt; 0\u00b7001). The prevalence of ischaemic heart disease (44\u00b79 per cent), myocardial infarction (26\u00b78 per cent), heart failure (4\u00b74 per cent) and stroke (14\u00b70 per cent) was also high in these patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The risk of cardiovascular death in patients with a small AAA is high and increases by approximately 3 per cent each year after diagnosis. Patients with a small AAA have a high prevalence of cardiovascular disease. Patients a small AAA should be considered for lifestyle modifications and secondary cardiovascular protection.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/bjs.9837","type":"journal-article","created":{"date-parts":[[2015,5,14]],"date-time":"2015-05-14T06:59:35Z","timestamp":1431586775000},"page":"866-872","source":"Crossref","is-referenced-by-count":99,"title":["Systematic review of cardiovascular disease and cardiovascular death in patients with a small abdominal aortic aneurysm"],"prefix":"10.1093","volume":"102","author":[{"given":"M F","family":"Bath","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Sciences, University of Leicester, Leicester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V J","family":"Gokani","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Sciences, University of Leicester, Leicester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D A","family":"Sidloff","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Sciences, University of Leicester, Leicester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L R","family":"Jones","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Sciences, University of Leicester, Leicester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E","family":"Choke","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Sciences, University of Leicester, Leicester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R D","family":"Sayers","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Sciences, University of Leicester, Leicester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M J","family":"Bown","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Sciences, University of Leicester, Leicester, UK"},{"name":"National Institute for Health Research Leicester Cardiovascular Biomedical Research Unit, University of Leicester, Leicester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2015,5,14]]},"reference":[{"key":"2021021717575087800_bjs9837-bib-0001","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1016\/j.ejvs.2012.12.013","article-title":"International variations in AAA screening","volume":"45","author":"Stather","year":"2013","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"2021021717575087800_bjs9837-bib-0002","doi-asserted-by":"crossref","first-page":"976","DOI":"10.1002\/bjs.9528","article-title":"Cost-effectiveness of the National Health Service Abdominal Aortic Aneurysm Screening Programme in England","volume":"101","author":"Glover","year":"2014","journal-title":"Br J Surg"},{"key":"2021021717575087800_bjs9837-bib-0003","doi-asserted-by":"crossref","first-page":"1649","DOI":"10.1002\/bjs.8897","article-title":"Multicentre Aneurysm Screening Study (MASS) Group. 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