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October 23, 2014VASA

Treatment with statins reduces cardiovascular mortality and slows the rate of AAA growth, whereas beta-blockers, ACE inhibitors, and AT1-receptor antagonists do not affect AAA growth.

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Population

Patients with abdominal aortic aneurysms (AAA)

Design

Review

Authors

NWNorbert WeissRRRoman N. RodionovAMAdrian Mahlmann

Discussion

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Overview

Supports statin use for CV risk reduction in AAA; leaves open causal effects on growth pending randomized data.

Structured PICO

P
Population
Patients with abdominal aortic aneurysms (AAA)
I
Intervention
Medical management including statins, beta-blockers, ACE inhibitors, AT1-receptor antagonists, roxithromycin, and lifestyle modification
O
Outcome
Cardiovascular mortality and AAA growth/progression

Patients with AAA are at high cardiovascular risk and benefit from statin therapy to reduce cardiovascular mortality and slow aneurysm growth, while other antihypertensives do not affect growth.

Cite This Study

Weiss et al. (2014) studied this question.

synapsesocial.com/papers/6a908a5ce73a4c404fc94b51https://doi.org/10.1024/0301-1526/a000388
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Randomized double-blind controlled trial of roxithromycin for prevention of abdominal aortic aneurysm expansion2001 · 174 citations
  2. 2Surgery for small asymptomatic abdominal aortic aneurysms2015 · 257 citations
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  4. 4Efficacy and Mechanism of Angiotensin II Receptor Blocker Treatment in Experimental Abdominal Aortic Aneurysms2012 · 80 citations
  5. 5Simvastatin Inhibits Angiotensin II-Induced Abdominal Aortic Aneurysm Formation in Apolipoprotein E-Knockout Mice2009 · 94 citations