Many individuals have asked when and how often should they receive a screening for an abdominal aneurysm. Actually, all men who are now 65 or older, and have ever smoked should be screened one time for this entity. This is a benefit for men who have smoked and have Medicare. Women and the black race have a lower risk for this condition, but anyone who has a family history of an aortic aneurysm have twice the risk of a person without that history. Unfortunately, smoking is another major risk factor.
If you have been identified as having an aneurysm, then it should be followed periodically with repeat screening depending on the size. If the aneurysm is 4 cm or smaller, repeating the ultrasound every 2-3 years is sufficient. However, if it is 5 cm, then it should be evaluated each year and surgery considered if it is 5.5 cm or larger.
Medical treatment has found that angiotensin-converting enzyme inhibitors (ACE inhibitors) have been shown to help reduce the progression and rupture of an aneurysm in a 2006 study in Canada, although beta blockers have traditionally been recommended. However, further research is still needed for this condition.