Chest
Clinical InvestigationsSURGERYEpidemiology and Clinicopathology of Aortic Dissection
Section snippets
Materials and Methods
The geographic area of this study included three adjacent small towns in western Hungary: Sümeg, Tapolca, and Keszthely, and their immediate environs, comprising a fairly stable population about 106,500 in the time frame of January 1, 1972, to December 31, 1998. This longitudinal study includes both the hospitalized and the nonhospitalized cases within the population found in the observed time interval.
All admissions were to the internal medicine department of the respective hospitals, with the
Incidence and Mortality
The finding of 86 cases of aortic dissection originated from 84 patients in this population of 106,500 followed for 27 years (total of 2,875,000 person-years of observation) indicates an incidence of 2.9/100,000/yr. Two of the six patients who underwent operation died either during or following the operation. One patient died of redissection 34 days after the operation, and another patient died 38 months after the operation from nonoperation-related acute myocardial infarction. Two patients are
Incidence and Mortality
In contrast with the generally accepted and cited incidence of 0.5 to 1.0/100,000/yr of aortic dissection,7, 1415 it was found to be 2.95/100,000/yr in this well-defined study population, in agreement with some studies pursued on defined populations. The incidence of aortic dissection in Memphis, TN, was estimated about 2.0/100,000/yr.16 It was 2.7/100,000/yr in Rochester, MN, between 1951 and 1980,17 and 4.04/100,000/yr in the Treviso area of Italy between 1976 and 1988.8 In the United States
References (40)
- et al.
Surgical management of dissecting aneurysms of the aorta
J Thorac Cardiovasc Surg
(1965) - et al.
The clinical recognition of dissecting aortic aneurysm
Am J Med
(1976) - et al.
Dissecting aneurysm of the aorta
Am Heart J
(1942) - et al.
Aortic dissections and dissecting aneurysms
Am J Cardiol
(1972) - et al.
Clinical features and differential diagnosis of aortic dissection: experience with 236 Cases (1980 through 1990)
Mayo Clin Proc
(1993) Differencial diagnosis of dissecting aneurysm
Prog Cardiovasc Dis
(1971)Aortic dissection: anatomy, consequences and causes
Am Heart J
(1981)- et al.
Risk factors for aortic dissection: a necropsy study of 161 cases
Am J Cardiol
(1984) - et al.
Electrocardiographic abnormalities in patients with acute aortic dissection
Am J Cardiol
(1995) The diagnosis and management of aortic dissection
JAMA
(1990)
Aortic dissection
Lancet
Dissecting aneurysms: special report series, No. 193; Medical Research Council
Dissecting aneurysm of the aorta: a review of 505 cases
Medicine (Baltimore)
Acute dissecting aortic aneurysms
Surgery
Clinical features and prognosis in dissecting aneurysm of the aorta: a reappraisal
Circulation
Acute aortic dissection
Dissecatione aortica: studio dell'incidenza basato su una casistica ospedaliera
Cardiologia (Ital)
Population study in Rochester and Olmsted County, Minnesota, 1906–1968
The incidence and mortality of the aortic dissection (Hung)
Orv Hetil
The clinico-pathology of the aortic dissection (Hung)
Orv Hetil
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