Acute Type B Aortic Dissection With Communicating vs. Non-Communicating False Lumen : Analysis of 502 Patients From the Tokyo CCU-Network Database
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- Akutsu Koichi
- Tokyo CCU Network Scientific Committee Division of Cardiovascular Intensive Care, Nippon Medical School Hospital
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- Yoshino Hideaki
- Tokyo CCU Network Scientific Committee
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- Tobaru Tetsuya
- Tokyo CCU Network Scientific Committee
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- Hagiya Kenichi
- Tokyo CCU Network Scientific Committee
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- Watanabe Yusuke
- Tokyo CCU Network Scientific Committee
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- Tanaka Keiji
- Tokyo CCU Network Scientific Committee
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- Koyama Nobuya
- Tokyo CCU Network Scientific Committee
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- Yamamoto Takeshi
- Tokyo CCU Network Scientific Committee
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- Nagao Ken
- Tokyo CCU Network Scientific Committee
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- Takayama Morimasa
- Tokyo CCU Network Scientific Committee
書誌事項
- タイトル別名
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- Acute Type B Aortic Dissection With Communicating vs. Non-Communicating False Lumen
- – Analysis of 502 Patients From the Tokyo CCU-Network Database –
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Background:In practice, patients with acute aortic dissection (AAD) are generally divided into 2 groups according to the status of the false lumen: non-communicating or communicating. The similarities and differences between the 2 groups, however, have not been fully determined in a large population.Methods and Results:We studied 502 patients with Stanford type B AAD. Clinical background at symptom onset was compared, and similarities and differences characterized, for patients with non-communicating (NC group, n=288) vs. communicating (C group, n=214) false lumens. Time of day (00.00–06.00 hours, 06.00–12.00 hours, 12.00–18.00 hours, and 18.00–24.00 hours) and extent of physical activity (extreme exertion, slight exertion, at rest, and sleeping) at symptom onset were similar between groups. Patients in the NC group were older (mean age, 71±11 years vs. 64±14 years, P<0.01) and had lower prevalence of distally extended aortic dissection (26% vs. 8%, P<0.01) and deaths in hospital (2% vs. 7%, P=0.011) than those in the C group.Conclusions:At symptom onset, clinical circumstances and physical activity were similar between the groups, and old age and a background of DeBakey IIIa aortic dissection may be associated with determination of false lumen status. The outcome in the NC group was better than in the C group. (Circ J 2015; 79: 567–573)
収録刊行物
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- Circulation Journal
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Circulation Journal 79 (3), 567-573, 2015
一般社団法人 日本循環器学会
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詳細情報 詳細情報について
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- CRID
- 1390001205106974592
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- NII論文ID
- 130004927091
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- NII書誌ID
- AA11591968
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- ISSN
- 13474820
- 13469843
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- NDL書誌ID
- 026186998
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- PubMed
- 25746541
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- NDL
- Crossref
- PubMed
- CiNii Articles
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