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This is a personal decision, based on your risk factors and family history. For example, the National Stroke Association states that your risk of stroke increases with age and doubles every decade after age 55. We generally recommend vascular screening beginning at age 50; however, if you have diabetes, or a family history of stroke, heart disease, or AAA, talk to your doctor about getting screened after age 40. Screenings are not appropriate for anyone under the age of 21.