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患有急性A型大动脉解剖的患者中风和结果
Eduardo Bossone1, David C Corteville, Kevin M Harris
1Department of Cardiology, University of Salerno, Salerno, Italy (E.B.); Division of Cardiovascular Medicine, University of Michigan, Ann Arbor, MI (D.C.C., E.K.-R., D.G.M., K.A.E.); Abbott-Northwestern Hospital, Minneapolis Heart Institute, Minneapolis, MN (K.M.H.); Department of Cardiovascular Medicine, University of Tokyo, Tokyo, Japan (T.S.); Department of Interventional Cardiology, San Salvatore Hospital, Pesaro, Italy (R.F.); Department of Cardiac Sciences, University of Calgary, Calgary, Canada (S.H.); Department of Cardiothoracic Surgery, University of Vienna, Vienna, Austria (M.P.E.); Division of Medical Genetics, University of Pennsylvania, Philadelphia, PA (R.E.P.); Department of Cardiology, Hôpital Bichat, Paris, France (P.G.S.); Division of Cardiovascular Surgery, Mayo Clinic, Rochester, MN (K.G.); Servei de Cardiologia, Hospital General Universitari Vall d'Hebron, Barcelona, Spain (A.E.); Thoracic Aortic Center, Massachusetts General Hospital, Boston, MA (E.M.I.); and Department of Internal Medicine, University of Rostock, Rostock, Germany (C.A.N.).
脑卒中是A型急性大动脉解剖 (TAAAD) 的严重并发症,影响了6%的患者. 虽然它增加了住院并发症和死亡率,但中风似乎不会影响TAAAD患者的长期存活率.
科学领域:
- 心血管医学 心血管医学
- 神经学 神经学
- 血管外科 血管外科
背景情况:
- 甲型急性大动脉解剖 (TAAAD) 是一种危及生命的疾病.
- 脑卒中是TAAAD的已知但不太了解的并发症.
- 关于TAAAD中风的发病率和预后意义的数据有限.
研究的目的:
- 为了确定TAAAD患者中风的发生率.
- 研究TAAAD患者中风和住院和长期结果之间的关联.
主要方法:
- 从国际急性大动脉解剖登记处获得的2202名患者的回顾性分析.
- 在有或没有中风的TAAAD患者之间比较临床特征,表现,治疗和结果.
- 统计分析包括赔率比率和危险比率,以评估预后影响.
主要成果:
- 在TAAAD患者中有6.0%患有中风,这些患者年龄较大,患高血压和动脉样硬化率较高.
- 脑卒中患者的胸痛较少,心昏,休克或脉缺陷较多,通常涉及形血管.
- TAAAD中风患者经历了更长的住院时间,增加了住院并发症和更高的住院死亡率,但在住院生存后的长期死亡率相似.
结论:
- 脑卒中是TAAAD的一个重要并发症,与增加住院发病率和死亡率有关.
- 脑卒中似乎不会对TAAAD患者的长期生存产生不利影响,这些患者在住院后幸存下来.
- 需要进一步的研究来评估积极的早期干预对TAAAD中风患者的结果的影响.
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