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Acute Aortic Dissection in China
- Source :
- The American Journal of Cardiology. 110:1056-1061
- Publication Year :
- 2012
- Publisher :
- Elsevier BV, 2012.
-
Abstract
- The clinical profiles and outcomes of acute aortic dissection (AAD) have not been evaluated in China. We retrospectively analyzed, from January 1, 2008 to December 31, 2011, the data from 1,812 patients (mean age 51.1 ± 10.9 years; 77.5% men) with AAD (726 with type A and 1,086 with type B) from 19 large hospitals. Most patients had hypertension and presented with an abrupt onset of chest and/or back pain. Patients with type A AAD were more likely to present with typical symptoms and signs. Computed tomography was the most common initial imaging modality, used in 76.3% of patients with an AAD. The overall in-hospital mortality rate was 17.7%, with most of the deaths occurring within the first week. Surgery was used in 75.3% of patients with type A AAD. The mortality in this cohort was 33.8%. Endovascular treatment was performed in 76.1% of patients with type B AAD. The mortality rate was 2.2%. Multivariate analysis showed that hypertension (odds ratio 2.80, p
- Subjects :
- Male
Marfan syndrome
Abdominal pain
medicine.medical_specialty
Internal medicine
Odds Ratio
medicine
Back pain
Humans
Retrospective Studies
Aortic dissection
business.industry
Incidence
Mortality rate
Retrospective cohort study
Odds ratio
Middle Aged
medicine.disease
Aortic Aneurysm
Aortic Dissection
Acute Disease
Cohort
Cardiology
Female
medicine.symptom
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 00029149
- Volume :
- 110
- Database :
- OpenAIRE
- Journal :
- The American Journal of Cardiology
- Accession number :
- edsair.doi.dedup.....e7aabdd48333860e214b7b7c8624e75c