الإدارة الطبية وتعديل عوامل الخطر لتمدد الأوعية الدموية الأبهري البطني غير المتشقق

DOI: 10.1016/j.ejvs.2023.11.002

• In patients with AAA and an average SBP of ≥130 mm Hg, or an average DBP of ≥80 mm Hg, the use of antihypertensive medication is recommended to reduce risk of cardiovascular events.
• Uncontrolled hypertension is a known risk factor for aortic rupture and dissection; therefore, achieving an SBP goal of <130 mm Hg, and a DBP goal of <80 mm Hg with the use of antihypertensive therapy in those with hypertension and AAA can reduce adverse clinical outcomes, and some patients may benefit from more intensive lowering with an SBP goal of <120 mm Hg.
• In patients with AAA and evidence of aortic atherosclerosis, statin therapy at moderate or high intensity is recommended.
• In patients with AAA who smoke cigarettes, smoking cessation efforts are recommended.