Triggers and circadian distribution of the onset of acute aortic dissection

Circulation Journal : Official Journal of the Japanese Circulation Society
Satoshi KojimaHiroyuki Daida

Abstract

The purpose of this study was to clarify the activities that trigger the onset of acute aortic dissection (AAD) and their relation to the occurrence of AAD. The study group comprised 444 consecutive patients referred for spontaneous AAD. From the hospital medical records, the activities that triggered AAD could be identified in 307 of these: most (86.6%) AAD episodes occurred in relation to physical (73.6%) or mental (13%) activities. In the older (> or =61 years) population, AAD occurred significantly more frequent during sleep or rest than in the younger (< or =60 years) population (16.9% vs 7.6%, p=0.020). The relationship between the time of onset and the triggering activity of AAD could be assessed in 267 patients. The onset of AAD was predominantly during the day: 63.3% of the episodes occurred between 06.00h and 18.00h, and were significantly more related to physical or mental activities than the nighttime events (95.3% vs 70.4%, p<0.0001). Most (86.6%) of the AAD episodes were related to physical or mental stress, particularly those that occurred during the day.

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Citations

Sep 11, 2012·Environmental Health and Preventive Medicine·Joji Inamasu, Satoru Miyatake
Jul 16, 2005·Internal Medicine·Hiroaki KawanoKatsusuke Yano
Sep 3, 2013·Progress in Cardiovascular Diseases·Roberto ManfrediniEduardo Bossone
Sep 3, 2011·American Heart Journal·Siddharth K PrakashDianna M Milewicz
Jan 2, 2009·International Journal of Cardiology·Ersan Tatli, Armagan Altun
Apr 24, 2015·International Heart Journal·Masaru SeguchiShin-ichi Momomura
Sep 9, 2006·International Heart Journal·Ratko M LasicaZorana Vasiljevic
May 8, 2019·Heart and Vessels·Koichi AkutsuUNKNOWN Tokyo CCU Network and Tokyo Acute Aortic Super Network
Nov 6, 2020·Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia·Koichi AkutsuShin Yamamoto
Jul 1, 2021·European Heart Journal. Acute Cardiovascular Care·Tetsuo YamaguchiHitoshi Ogino

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