An abdominal aortic aneurysm (AAA) describes weakening and bulging of the abdominal section of the body’s largest artery, the aorta. An AAA usually develops slowly and may not cause symptoms for years.
However, if the aneurysm ruptures, it can lead to severe internal bleeding and become a medical emergency. But why link it to Men’s Health Month in the U.S.? Men are much more likely than women to develop an AAA. Notably, though, women are much more likely to develop a rupture.
At Premier Cardiology Consultants in New York City, we’re focused on cardiovascular health in both women and men. Still, we’re happy to take this opportunity to explain more about AAAs, why men are at higher risk, the warning signs, and how to manage the risks.
An abdominal aortic aneurysm occurs when a portion of the abdominal aorta becomes enlarged or weakened. Over time, pressure from blood flow can cause the weakened artery wall to balloon outward.
Small aneurysms may remain stable for years, but larger aneurysms are more likely to leak or rupture. Many AAAs are discovered during routine imaging tests performed for unrelated medical concerns. Because symptoms are often absent in the early stages, awareness is critical.
In some cases, an AAA may cause deep abdominal pain, back pain, or a pulsing sensation in your stomach area.
Although women can develop AAA, men are significantly more likely to experience the condition. Age also plays a major role. Most abdominal aortic aneurysms occur in men over 65.
Hormonal differences, lifestyle habits, and higher rates of smoking among men may contribute to the increased risk. Family history can further raise the likelihood of developing an aneurysm, especially if a close relative has been diagnosed with the condition.
Anyone can develop an AAA, but factors that increase your risk include:
Smoking is considered the most significant modifiable risk factor for abdominal aortic aneurysms. Chemicals in tobacco weaken blood vessel walls and increase inflammation, making the aorta more vulnerable to enlargement.
Current and former smokers face a much higher risk of developing AAA compared to nonsmokers. The longer a person has smoked, the greater the risk becomes. However, quitting smoking can substantially lower the chances of aneurysm growth and rupture.
High blood pressure places constant stress on artery walls, which can accelerate weakening in the aorta. People with hypertension, high cholesterol, or a history of heart disease are at greater risk of developing AAA.
Atherosclerosis, commonly known as hardening of the arteries, is another contributing factor. Fatty deposits in the blood vessels can reduce flexibility and damage the arterial walls over time.
Managing blood pressure through exercise, medication, and a balanced diet can help reduce vascular strain and support overall cardiovascular wellness.
Age remains one of the strongest predictors of AAA. As we age, arteries naturally lose some elasticity, increasing susceptibility to aneurysms.
Family history is equally important. People with a parent or sibling who has had an abdominal aortic aneurysm may face a significantly higher risk. In these cases, healthcare providers often recommend earlier or more frequent screenings.
Genetics cannot be changed, but awareness allows you to make informed decisions about preventive care and lifestyle improvements.
Because AAAs often develop silently, screening can save lives. A simple abdominal ultrasound is commonly used to detect aneurysms before complications occur.
We often recommend screening for men aged 65 to 75, especially if they have increased risk factors. Early detection allows us to monitor aneurysm size and determine whether lifestyle changes, medications, or surgery may be necessary.
June is Men’s Health Month in the U.S. It’s the perfect time to prioritize preventive care and become informed about serious conditions like abdominal aortic aneurysms.
Routine checkups and increased awareness can help reduce the risks associated with this potentially life-threatening condition.
Give us a call at Premier Cardiology Consultants or request an appointment online.
