J Korean Surg Soc.  2010 May;78(5):305-313. 10.4174/jkss.2010.78.5.305.

Prevalence and Characteristics of Major Vascular Diseases of Elderly Men in the Incheon Area

• Kim JY
• Jeon YS
• Cho SG
• Kong E
• Jung JE
• Park SG
• Cho JS
• Kim KR
• Shin SH
• Ahn SI
• Cho YU
• Kim SJ
• Lee KY
• Hur YS
• Choi SK
• Choe YM
• Hong KC

• KMID: 2211957
• DOI: http://doi.org/10.4174/jkss.2010.78.5.305

Abstract

PURPOSE
As Korea is an aging society (WHO classification) and projected to be an aged society in 10 years, peripheral vascular diseases (PVD) in the elderly population has emerged as an important social and medical issue. But their prevalence was rarely reported in Korea. The purpose of this study is to define the prevalence of carotid artery stenosis (CAS), abdominal aortic aneurysm (AAA), and peripheral arterial occlusive disease (PAOD) of lower limb in the Incheon area.
METHODS
Elderly men (> or =65 years) were referred randomly from the Incheon Federation of Korean Senior Citizens' Association (from Nov 2008 to Sep 2009) to Inha Univeristy Hospital, Incheon, Korea for a PVD screening program. The subjects were screened for CAS and AAA by duplex. CAS was defined as > or =50% internal CAS and AAA as > or =3 cm aortic diameter in minor axis. PAOD of lower limb was screened by measurement of ankle brachial index (ABI); ABI of < or =0.9 was considered abnormal.
RESULTS
1150 subjects were screened including 103 octogenarians (9.0%). Mean age was 72.3+/-0.2 years. Combined conditions were hypertension (54.3%), diabetes mellitus (25.2%), coronary artery disease (15.6%), dyslipidemia (18.9%), obesity (31.1%) and smoking history (71.7%). CAS was detected in 7.7% (89/1,150) subjects. Thirty-three (2.9%) were diagnosed with AAA. PAOD was detected in 50 subjects (4.4%).
CONCLUSION
Prevalence of PVD in Korea is not lower compared to that of western countries, especially the USA and the UK. A nationwide program for timely detection and treatment for PVD should be developed.

Keyword

Screening; Prevalence; Carotid artery stenosis; Abdominal aortic aneurysm; Peripheral vascular disease

MeSH Terms

Aged
Aged, 80 and over
Aging
Ankle Brachial Index
Aortic Aneurysm, Abdominal
Arterial Occlusive Diseases
Axis, Cervical Vertebra
Carotid Stenosis
Coronary Artery Disease
Diabetes Mellitus
Dyslipidemias
Humans
Hypertension
Korea
Lower Extremity
Male
Mass Screening
Obesity
Peripheral Vascular Diseases
Prevalence
Smoke
Smoking
Vascular Diseases
Smoke

Figure

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  Fig. 1 Diagram indicating overlap in vascular diseases affecting different territories. *CAS = carotid artery stenosis; †AAA = abdominal aortic aneurysm; ‡PAOD = peripheral arterial occlusive disease of lower limb.

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  Fig. 2 Treated volumes of abdominal aortic aneurysm (AAA) in Korea from 2004 to 2008. *EVAR = endovascular aneurysm repair; †AAA OR = abdominal aortic aneurysm open repair.

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  Fig. 3 Treated volumes of carotid artery stenosis in Korea from 2004 to 2008.

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