Question 63 of 433
Are there any vascular screening tests that are proven?
The short answer
Yes, one. An ultrasound for abdominal aortic aneurysm in men 65 to 75 who have ever smoked. WORTH IT.
It is a ten-minute test done once, and in randomized trials it cut deaths from ruptured aneurysm by about 40 percent. Medicare covers it. An ankle-brachial index, which compares blood pressure in the arm and leg, is reasonable for older adults who smoke or have diabetes. Fingertip tests of “endothelial function” and artery stiffness are research tools.
“This book is for education. It is not medical advice, and reading it does not make you my patient or create a doctor-patient relationship.” From the book’s medical disclaimer. Full disclaimer
ROBUST HUMAN TRIALS — Selected older men: one-time aneurysm ultrasound reduces aneurysm-related deaths; not all vascular testing is equivalent.Evidence grade (draft mapping)ARobust human trialsPart 5, Q63 · Part sources
From Longevity Unmasked by Afshine Ash Emrani, MD, FACC. Medical disclaimer. This book is for education. It is not medical advice, and reading it does not make you my patient or create a doctor-patient relationship. Nothing here is meant to diagnose, treat, cure, or prevent any disease. Medicine is personal: a test, drug, supplement, or exercise plan that helps one person can harm another. Do not start, stop, or change any medication or treatment because of something you read in these pages. Talk with a licensed clinician who knows your history first. If you think you are having a medical emergency, call 911. The author disclaims responsibility for any loss or harm arising from use of the information in this book.