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Risk factors - FH, age, male, HT, smoking
Exam - abdo and BP

''Screening programme'' - USS and surveillance if present
aims to reduce AAA deaths by 50%
4% of 65yr old men have AAA (women 6x less)
annual rupture 6cm 10%, 8cms 30%
5yr survival if >5cm - 20%

If >5.5cm consider surgery or endovascular stenting - risk is 2-7%
ruptured AAA is ''often'' fatal