Professor, Department of Surgery, and Chief, Division of Vascular Surgery
University of Maryland
School of Medicine
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
Abdominal aortic aneurysm (AAA)
Carotid artery disease
Peripheral arterial disease (PAD)
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.
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.
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.
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
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
132 Centers - 40 States American Vascular Association Screening Program 2004
American Vascular Association National Screening Program
Over 5000 older Americans American Vascular Association Screening Program 2004
Hypertension was found in 22% of older Americans Hypertension - BP > 160mmHg 22% 63% 30%
PAD (ABI < 0.85) was found in 9% of older Americans 7% 10% 10.5% 12% 9.6% p = 0.001 Peripheral Arterial Disease
PAD (ABI < 0.85) was found in 10.5% of older Americans Peripheral Arterial Disease 10.5% 52% 50%
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
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
Carotid disease was found in 7.6% of older Americans. Carotid Artery Disease 7.6% 48% 50%
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
16% Abdominal Aortic Aneurysms
Hypertension – BP > 160 systolic P < 0.03 30% 22% AAA No AAA
P < 0.0001 Abdominal Aortic Aneurysms
AAA - Men & Women
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.