Are you at risk?
Do you have any of these risk factors?
___ Yes ___ No Family history of AAA
___ Yes ___ No Age 50 or over
___ Yes ___ No Age 65 or older
___ Yes ___ No Current Smoker
___ Yes ___ No Former Smoker
___ Yes ___ No Atherosclerosis (hardening
of the arteries)
___ Yes ___ No High Blood Pressure
___ Yes ___ No High Cholesterol
Do you have any of these symptoms?
AAA is often called a "silent killer" because there are usually no obvious symptoms of the disease. Three out of four aneurysms show no symptoms at the time they are diagnosed. When symptoms are present, they may include:
___ Yes ___ No Abdominal pain (that may be constant or come and go)
___ Yes ___ No Pain in the lower back that radiate to the buttocks, groin or
legs
___ Yes ___ No The feeling of a "heartbeat" or pulse in the abdomen
Once an aneurysm bursts, symptoms can include severe back or abdominal pain that begins suddenly, paleness, dry mouth/skin and excessive thirst, nausea and vomiting, and/or signs of shock (such as shaking, dizziness, fainting, sweating, rapid heartbeat and sudden weakness). Call 911 if you experience these symptoms and seek emergency help.
Don't forget to print this page out and bring with you to your next appointment
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