Clinical observation of aortic dissection.
10.12701/yujm.1992.9.2.334
- Author:
Byeong Ik JANG
;
Jin Ho PARK
;
Dong Ku SHIN
;
Yeoung Jo KIM
;
Bong Sup SHIM
;
Hyun Woo LEE
;
Su Hyen KIM
;
Sung Sae HAN
- Publication Type:Original Article
- Keywords:
Aortic dissection
- MeSH:
Arrhythmias, Cardiac;
Atherosclerosis;
Dyspnea;
Electrocardiography;
Female;
Humans;
Hypertension;
Incidence;
Male;
Mortality;
Myocardial Ischemia;
Shock;
Ultrasonography
- From:Yeungnam University Journal of Medicine
1992;9(2):334-341
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A clinical review of 34 cases of aortic dissection which were admitted to Yeungnam University hospital between March 1983 and April 1992. The results are as follows: 1. The peak incidence was in 5th, 6th decade and male to female ratio was 1.83:1. 2. The most common cause of aortic dissection was atherosclerosis and hypertension (79%). 3. The most common presenting symptom was pain (73%). but dyspnea, palpable mass, murmur, shock were also observed. 4. Abnormal electrocardiographic finding was myocardial ischemia in 6 cases, arrhythmia in 5 cases, LVH in 5 cases. 5. The X-ray findings showed abnormal aortic contour in 10 cases but normal X-ray finding was observed in 63% of DeBaKey Type III. 6. The most common diagnostic procedure was echocardiogram and abdominal Ultrasonography. 7. The mortality of all cases was 20%, operation mortality was 18% but no death of medically treatment in medical indication.
