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  • 1. Vascular Disease
    • William R. Flinn, MD
    • Professor, Department of Surgery, and Chief, Division of Vascular Surgery
    • University of Maryland
    • School of Medicine
  • 2. Cardiovascular Disease
    • The #1 killer of Americans
    • Approximately 1,000,000 deaths annually
    • An American dies from cardiovascular disease every 30 seconds
    • More than any cancer
      • 2-3 times more than any single (lung) cancer
      • Almost more than all cancer deaths combined
  • 3. CARDIO vascular
  • 4. Vascular Disease
    • Abdominal aortic aneurysm (AAA)
    • Carotid artery disease
    • Peripheral arterial disease (PAD)
  • 5. Vascular Disease
    • Abdominal Aortic Aneurysm (AAA)
      • An aneurysm is a ballooning of the aorta. As the vessel gets larger, like a balloon it can rupture!
      • Aortic aneurysm rupture is the 10th leading cause of death in men over 50.
      • More than 15,000 people die needlessly each year in this country from the rupture of an aortic aneurysm.
  • 6. Vascular Disease
    • Carotid Artery Disease
      • Vascular disease can block the carotid arteries to the brain and cause paralyzing strokes.
      • Stroke is the third leading cause of death in this country and the leading cause of permanent disability among older Americans.
      • More than $50 billion is spent annually on the care of stroke patients.
  • 7. Vascular Disease
    • Peripheral Arterial Disease (PAD)
      • Vascular disease can block circulation to the legs, leading to serious disability.
      • Between 25 and 30 million people over 70 years of age have peripheral arterial disease (PAD).
      • PAD begins by simply limiting the amount you can walk, but when it worsens it could lead to gangrene and leg amputation.
      • Even people with mild PAD are three times as likely to die of heart attacks and strokes as those without the disease.
  • 8. The AVA is a Foundation within SVS. Its goal is to increase public awareness of vascular disease. American Vascular Association The AVA is a public health advocacy organization whose mission is to reduce death and disability due to vascular disease. American Vascular Association
  • 9. CAROTID SCAN - A painless ultrasound test to reduce the risk of stroke AORTIC SCAN - To detect aneurysms that could rupture and be fatal PAD Testing - Measurement of circulation to your legs to detect peripheral arterial disease (PAD) American Vascular Association National Screening Program
  • 10. 132 Centers - 40 States American Vascular Association Screening Program 2004
  • 11. American Vascular Association National Screening Program
  • 12. Over 5000 older Americans American Vascular Association Screening Program 2004
  • 13. Hypertension was found in 22% of older Americans Hypertension - BP > 160mmHg 22% 63% 30%
  • 14. PAD (ABI < 0.85) was found in 9% of older Americans 7% 10% 10.5% 12% 9.6% p = 0.001 Peripheral Arterial Disease
  • 15. PAD (ABI < 0.85) was found in 10.5% of older Americans Peripheral Arterial Disease 10.5% 52% 50%
  • 16. Women with PAD were significantly less likely to be receiving antiplatelet medications. Peripheral Arterial Disease 11% 43% 54% 7.5 % 42% 57% p=0.008
  • 17. Carotid disease was found in 7.6% of older Americans. 7.8% 7.4% 7.6% 8% 5.8% p = 0.03 Carotid Artery Disease
  • 18. Carotid disease was found in 7.6% of older Americans. Carotid Artery Disease 7.6% 48% 50%
  • 19. Women with Carotid disease were significantly less likely to be receiving lipid-lowering medication and antiplatelet medications. 8% 42% 56% 5.8 % 32% 60% p=0.03 Carotid Artery Disease p=0.001
  • 20. 16% Abdominal Aortic Aneurysms
  • 21. Hypertension – BP > 160 systolic P < 0.03 30% 22% AAA No AAA
  • 22. P < 0.0001 Abdominal Aortic Aneurysms
  • 23. AAA - Men & Women
  • 24.
    • There is significant undiagnosed noncardiac vascular disease in a broad segment of our population.
    • 30% - 50% of patients with vascular disease are not receiving treatments that might be significantly beneficial.
    • There is a significantly higher prevalence among women than has been historically reported.
    • Women receive a significantly lower intensity of treatment.
    • There is significant opportunity for patient and physician education with the potential for measurably improved outcomes.
    AVA National Screening Program
  • 25.  
  • 26.
    • 64 year old man
      • NFL quarterback for 17 years
      • Senior Pro golf circuit for 13 years
    • Acute stroke without prior symptoms
    • Urgent CEA
    • Prolonged rehab with permanent disability
    • All potentially preventable with screening
  • 27. &quot;Healthy Vessels 2010&quot;