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. Department of Cardiac Surgery, Beijing Anzhen Hospital, Capital Medical University, Beijing, 100029, P.R.China;
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.
