检索结果-南通市图书馆

Clinical profiles and outcomes of acute type a aortic dissection and intramural hematoma in the current era: lessons from the first registry of aortic dissection in China

引用

Chinese Medical Journal 2021年第8期134卷 927-934页

作者： Wei-Xun Duan Wei-Guang Wang Lin Xia Chao Xue Bo Yu Kai Ren Wei Yi Hong-Liang Liang Xiao-Chao Dong Jian Zuo Jin-Cheng Liu Shi-Qiang Yu Ding-Hua Yi Departm ent of Cardiovascular Surgery Xijing Hospitalthe Fourth Military Medical UniversityXi'anShaanxi 710032China 71901 troops The Chinese People's Liberation ArmyLiaochengShandong 252000China

Background::acute type a aortic dissection(ATAAD)and acute type A intramural hematoma(ATAIMH)are life-threatening diseases with high *** better understand their clinical features in the Chinese population,we analyzed the data from the first Registry of aortic dissection in China(Sino-RAD)to promote the understanding and management of the ***::All patients with ATAAD and ATAIMH enrolled in Sino-RAD from January 1,2012 to December 31,2016 were *** data of patients’selection,history,symptoms,management,outcomes,and postoperation complications were analyzed in the *** continuous variables were compared using the Student’s t test for normal distributions and the Mann-Whitney U test for non-normal *** variables were compared using the Chi-square test or Fisher exact ***::A total of 1582 patients with ATAAD and 130 patients with ATAIMH were *** mean age of all patients was 48.4 *** with ATAAD were significantly younger than patients with ATAIMH(48.9 years vs.55.6 years,P<0.001).For the total cohort,males were dominant,but the male ratio of patients with ATAAD was significantly higher compared to those with ATAIMH(P=0.01).The time range from the onset of symptom to hospitalization was 2.0 *** patients of ATAIMH had hypertension than that of ATAAD(82.3%vs.67.6%,P<0.05).Chest and back pain were the most common clinical *** tomography(CT)was the most common initial diagnostic imaging modality.84.7%received surgical treatment and in-hospital mortality was 5.3%.Patients with ATAAD mainly received surgical treatment(89.6%),while most patients with ATAIMH received medical treatment(39.2%)or endovascular repair(35.4%).Conclusions::Our study suggests that doctors should comprehensively use clinical examination and genetic background screening for patients with ATAAD and ATAIMH and further shorten the time range from symptoms onset to intervention,achieving early diagnosis

关键词： aortic dissection acute type a aortic dissection acute type A intramural hematoma

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

The Anzhen Risk Scoring System for acute type a aortic dissection:A Prospective Observational Study Protocol

引用

Cardiovascular Innovations and Applications 2023年第1期7卷 25-31页

作者： Bo Jia Cheng Luo Chengnan Li Yipeng Ge Yongliang Zhong Zhiyu Qiao Haiou Hu Suwei Chen Junming Zhu Department of Cardiovascular Surgery Capital Medical University Beijing Anzhen Hospital of Capital Medical UniversityBeijing Institute of Heart Lung and Blood Vessel DiseasesBeijing Engineering Research Center of Vascular ProsthesesBeijingChina

Introduction:acute type a aortic dissection(ATAAD)is a catastrophic disease with fatal *** syndrome(MPS)is a serious complication of ATAAD,with an incidence of 20–40%.Many studies have shown that MPS is the main risk factor for poor ATAAD ***,a risk scoring system for ATAAD based on MPS is ***,we designed a risk scoring system for ATAAD to assess mortality through quantitative assessment of relevant organ malperfusion and subsequently develop rational treatment *** and analysis:This was a prospective observational ***’perioperative clinical data were col-lected to establish a database of ATAAD(N≥3000)and determine whether these patients had malperfusion *** Anzhen risk scoring system was established on the basis of organ malperfusion by using a random forest survival model and a logistics *** better method was then chosen to establish a revised risk scoring *** and dissemination:This study received ethical approval from the Ethics Committees of Beijing Anzhen Hospital,Capital Medical University(KS2019034-1).Patient consent was waived because biological samples were not collected,and no patient rights were *** will be disseminated at scientific conferences and in peer-reviewed publications.

关键词： acute type a aortic dissection 30-Day mortality Risk prediction Random Forest survival Malperfu-sion syndrome

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Effect on surgery outcomes owing to the interval between onset of symptoms and surgery of patients with acute type a aortic dissection

引用

Emergency and Critical Care Medicine 2022年第2期2卷 67-72页

作者： Shouming Li Duoliang Wei Zhenhua Wang Han Song Shaopeng Cheng Xin Zhao Department of Cardiovascular Surgery Qilu Hospital of Shandong UniversityJinanShandongChina

Background:This study aimed to identify whether the interval from onset of symptoms to surgery affects the outcomes of surgery in patients with acute type a aortic dissection(AAAD).Methods:This study retrospectively examined 249 patients with AAAD who underwent Sun’s *** patients were divided into 2 groups,hyperacute and acute,according to the interval from onset of symptoms to *** primary endpoint was all-cause early mortality,and the secondary endpoint was early ***:The surgery time,cardiopulmonary bypass time,clamp time,and selective cerebral perfusion time were not significantly different between the 2 *** intensive care unit length of stay and duration of mechanical ventilation of the 2 groups were 185.50hours versus 185.00hours(P=0.970)and 41.50hours versus 44.00hours(P=0.678),*** were 52 early deaths:29 in the hyperacute group and 23 in the acute group(21.6%vs.20.0%,P=0.751).The incidence of reoperation was 0.7% and 0.9%(P>0.999),*** incidence rates of postoperative acute heart failure(AHF),acute respiratory failure(ARF),nervous dysfunction,and acutekidney injury were37.3% versus 25.2%(P=0.041),51.5%versus51.3%(P=0.976),13.4% versus 7.0%(P=0.096),and 37.3% versus 37.4%(P=0.990),*** analysis indicated that surgery in the hyperacute phase might be an independent risk factor for AHF(OR:1.765;95%CI:1.021–3.052;P=0.042).Conclusion:Surgery in the hyperacute phase of AAAD was associated with postoperative ***,early medical management or interventional therapy for complications before surgery performed by experienced surgeons is recommended,especially in the hyperacute phase.

关键词： acute type a aortic dissection Hyperacute phase Stented elephant Total arch replacement

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Predictive value of age,creatinine,and ejection fraction(ACEF)score for in-hospital mortality and major adverse events in patients with acute type a aortic dissection

引用

South China Journal of Cardiology 2021年第4期22卷 223-230,247页

作者： LI Chen-xi WANG Qiu-ji LIU Ji-tao FENG Wei-qi LI Xin FAN Rui-xin Department of Cardiac Surgery intensive care unit Guangdong Cardiovascular InstituteGuangdong Provincial People's HospitalGuangdong Academy of Medical SciencesGuangzhou 510080GuangdongChina Department of Cardiac Surgery Guangdong Cardiovascular InstituteGuangdong Provincial People’s HospitalGuangdong Academy of Medical SciencesGuangzhou 510080GuangdongChina Department of Cardiology Guangdong Cardiovascular InstituteGuangdong Provincial People’s HospitalGuangdong Academy of Medical SciencesGuangzhou 510080GuangdongChina School of Medicine South China University of TechnologyGuangzhou 510006GuangdongChina

Background Patients with decreased cardiac and renal function,as well as old age suffer from poor outcomes when undergoing cardiac *** aim of this study was to evaluate the association of age,creatinine and ejection fraction(ACEF)score with in-hospital prognosis of patients with the acute type a aortic dissection(ATAAD).Methods From September 2017 to June 2021,a total of 435 ATAAD patients undergoing open surgery repair were enrolled,and classified into low ACEF(ACEF score<0.91,n=286)and high ACEF group(ACEF score≥0.91,n=149)according to the optimal cutoff value of *** regression analysis was performed to investigate the association between ACEF score with adverse *** Thirty-five(8.0%)patients were excluded and 94(21.6%)developed in-hospital major adverse clinical events(MACEs)during *** in-hospital mortality in high ACEF group was significantly higher than in low ACEF group(13.4%vs.5.2%,P=0.003).The in-hospital MACE rate was also significantly higher in patients with high ACEF score(high ACEF group:27.5%*** ACEF group:18.5%,P=0.031).Multivariable logistic analysis revealed that ACEF score was an independent indicator for in-hospital mortality[odds ratio(OR):5.66,95%confidence interval(CI):1.43-22.48,P=0.014]and in-hospital MACEs(OR:3.44,95%CI:1.30-9.15,P=0.013).Conclusions Elevated ACEF score was an independent predictor for in-hospital mortality and MACEs in patients with ATAAD undergoing open surgery repair,which might provide additional risk stratification.

关键词： acute type a aortic dissection ACEF score in-hospital mortality

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Beyond the Usual Suspects (aortic dissection in Patients with Chronic Kidney Disease)

引用

International Journal of Clinical Medicine 2024年第9期15卷 436-442页

作者： Marwa Morgom Shazad Anjum Sujood Musa Awadelseed Hanan Nayef Alajard Yageen Ismail Bakhiet Emergency Medicine Hamad General Hospital Doha Qatar

A comprehensive differential diagnosis is essential in the emergency department, even when patient presentations are atypical. Timely recognition of life-threatening conditions, such as aortic dissection, hinges on th... 详细信息

关键词： Chest Discomfort Atypical Presentation of aortic dissection Differential Diagnosis acute type a aortic dissection aortic dissection Diagnosis

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：