An Imaging Study Detects an Incidental 3

An imaging study detects an incidental 3.5-cm infrarenal abdominal aortic aneurysm in a 70-year-old man.  He has no associated symptoms.  Medical history is significant for hypertension, type 2 diabetes, and hypercholesterolemia.  The patient is maintained on anticoagulation due to paroxysmal atrial fibrillation.  He has smoked 1-2 packs of cigarettes a day for the past 40 years, and he drinks 1 or 2 glasses of wine daily.  The patient is physically active, bikes regularly, and enjoys hiking.  On physical examination, blood pressure is 150/78 mm Hg and pulse is 80/min.  Heart sounds are normal, and the lungs are clear.  Laboratory results are as follows: Which of the following is most strongly associated with aneurysm progression in this patient?

A) Active smoking
B) Anticoagulation
C) Exercise activities
D) LDL >130 mg/dL
E) Systolic hypertension
F) Uncontrolled diabetes mellitus

Correct Answer:

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