Risk factors for 24-hour death in acute type A aortic dissection patients with conservative treatment
- VernacularTitle:急性 A 型主动脉夹层患者发病 24 小时内行保守治疗死亡的危险因素分析
- Author:
Yuan XUE
1
,
2
;
Hongjia ZHANG
3
Author Information
1. 1. Department of Cardiac Surgery, Beijing Anzhen Hospital, Capital Medical University, Beijing, 100029, P.R.China
2. 2. Department of Cardiac Surgery, Beijing Chaoyang Hospital, Capital Medical University, Beijing, 100020, P.R.China
3. Department of Cardiac Surgery, Beijing Anzhen Hospital, Capital Medical University, Beijing, 100029, P.R.China
- Publication Type:Journal Article
- Keywords:
Acute type A aortic dissection;
aortic regurgitation;
left ventricular end diastolic diameter;
risk factors
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2021;28(08):935-939
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the risk factors for 24-hour death in acute type A aortic dissection (ATAAD) patients with conservative treatment. Methods From January 2009 to January 2018, 243 ATAAD patients who received non-surgical intervention were admitted in Beijing Anzhen Hospital, including 167 males and 76 females with an average age of 53.0±12.0 years. The risk factors for 24-hour mortality were analyzed. Results The total in-hospital mortality rate was 37.9% (93/243), and 13.6% (33/243) patients died within 24 hours of onset. We found that left ventricular end diastolic diameter [LVEDD, OR=0.45, 95%CI (0.25, 0.83), P<0.01] and aortic regurgitation [OR=7.26, 95%CI (1.67, 31.53), P<0.01] were independent risk factors for 24-hour death in patients with ATAAD. Conclusion In this study, LVEDD and aortic regurgitation are identified as independent risk factors for 24-hour mortality in ATAAD patients. Therefore, patients with aortic regurgitation and small LVEDD should be treated with sugery as soon as possible.
