作者
James L Januzzi, Eric M Isselbacher, Rossella Fattori, Jeanna V Cooper, Dean E Smith, Jianming Fang, Kim A Eagle, Rajendra H Mehta, Christoph A Nienaber, Linda A Pape
发表日期
2004/2/18
期刊
Journal of the American College of Cardiology
卷号
43
期号
4
页码范围
665-669
出版商
American College of Cardiology Foundation
简介
Objectives
The goal of this study was to better characterize the young patient with aortic dissection (AoD).
Background
Aortic dissection is unusual in young patients, and frequently associated with unusual presentations.
Methods
Data were collected on 951 patients diagnosed with AoD between January 1996 and November 2001. Two categories of patients, <40 years and ≥40 years, were compared using chi-square cross tabulations for categorical and Student ttest for continuous data.
Results
Sixty-eight patients (7%) with AoD were <40 years of age. Compared with patients ≥40 years, younger patients were less likely to have a prior history of hypertension (p < 0.05); however, younger patients were more likely to have Marfan syndrome, bicuspid aortic valve, and prior aortic surgery (all, p < 0.05). Clinical presentations in the two age groups were similar; however, younger patients were less likely to be hypertensive …
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