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Published on: March 28, 2025
Fever associated with acute aortic dissection.
Seijiro Shimada1, Hajime Nakamura, Atsuhiro Kurooka
1Department of Cardiology, Sakai Hospital, Kinki University School of Medicine, Sakai, Japan. shimada-s@sakai.med.kindai.ac.jp
Fever duration in acute aortic dissection is linked to outcomes. Shorter fever durations correlate with better false lumen reduction, suggesting fever monitoring is crucial for assessing dissection status.
Area of Science:
- Cardiovascular Medicine
- Internal Medicine
- Medical Research
Background:
- Fever is a common symptom in acute aortic dissection.
- Limited research exists on the duration and characteristics of fever in this condition.
Purpose of the Study:
- To investigate the relationship between fever duration and clinical outcomes in acute aortic dissection.
- To compare false lumen size reduction and hematological parameters based on fever duration.
Main Methods:
- Analyzed fever duration in 57 patients with acute aortic dissection.
- Divided patients into two groups: shorter than mean fever duration (Group A) and longer or equal (Group B).
- Compared false lumen reduction ratio and hematological parameters between groups.
Main Results:
- Mean fever duration was 15.9 days.
- Group A showed a significantly higher false lumen reduction ratio (18.3%) compared to Group B (2.0%).
- A negative correlation was found between false lumen reduction ratio and fever duration. White blood cell count and C-reactive protein tended to be higher in Group B.
Conclusions:
- Fever duration is an important indicator in acute aortic dissection.
- Shorter fever duration is associated with greater reduction in false lumen size.
- Monitoring fever is essential for assessing the status of acute aortic dissection patients.
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