Meteorological and chronobiological factors and the occurrence of acute aortic dissection

被引:8
|
作者
Sadamatsu, Kenji [1 ]
Sagara, Shuichiro [1 ]
Oe, Kensuke [1 ]
Tashiro, Hideki [1 ]
Yasunaga, Hiroshi [2 ]
机构
[1] St Marys Hosp, Dept Cardiol, Kurume, Fukuoka, Japan
[2] St Marys Hosp, Dept Cardiovasc Surg, 422 Tsubukuhon Machi, Kurume, Fukuoka 8308543, Japan
关键词
Dissection; Aorta; Seasons; Temperature; Precipitation; Stanford type; INTERNATIONAL REGISTRY; TEMPERATURE; MORTALITY; DISEASES;
D O I
10.1007/s00380-020-01569-1
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Although a number of studies have demonstrated seasonal variations in acute cardiovascular events, the association between winter and low temperatures and the incidence rate of acute aortic dissection has not been fully elucidated. In this study, we investigated the association between meteorological and chronobiological factors and the occurrence of acute aortic dissection classified by the Stanford type, sex and age. We retrospectively collected 131 patients who had been admitted consecutively to our institution with acute aortic dissection, including 58 type A patients and 73 type B patients, from January 2013 to December 2017. The meteorological data were downloaded from the homepage of the Japan Meteorological Agency. The daily incidence of aortic dissection was higher in winter (10.2%) than in fall (5.3%) (P = 0.04), and a significant winter peak was also observed in the sub-groups of males and type B, while there were no significant differences in the proportions of type A, female, and <= 70- and > 70-year-old patients. The maximum, mean and minimum temperatures on the days with aortic dissection were significantly lower than on the days without aortic dissection. Divided into four seasons, lower temperatures were found only in spring. The most significant and greatest difference was observed between the maximum temperature on the day of aortic dissection and that at 2 days earlier. The multivariate logistic regression analysis showed that the difference in the maximum temperature between the day of and 2 days before the incident (odds ratio 0.91; 95% confidence interval 0.87-0.96; P < 0.01) as well as the maximum temperature (odds ratio 0.97; 95% confidence interval 0.95-0.99; P = 0.02) were significantly associated with the incidence of aortic dissection. Cold weather and a sudden decrease in temperature might trigger aortic dissection, although the influence might differ among sub-groups.
引用
收藏
页码:1003 / 1011
页数:9
相关论文
共 50 条
  • [41] ACUTE AORTIC DISSECTION
    OSMUNDSON, PJ
    POSTGRADUATE MEDICINE, 1971, 49 (05) : 132 - +
  • [42] ACUTE AORTIC DISSECTION
    BRAMOWETH, E
    AMERICAN JOURNAL OF NURSING, 1980, 80 (11) : 2010 - 2012
  • [43] ACUTE AORTIC DISSECTION
    ASFOURA, JY
    VIDT, DG
    CHEST, 1991, 99 (03) : 724 - 729
  • [44] Acute aortic dissection
    Golledge, Jonathan
    Eagle, Kim A.
    LANCET, 2008, 372 (9632): : 55 - 66
  • [45] ACUTE AORTIC DISSECTION
    IZZAT, MB
    JONES, AJ
    ANGELINI, GD
    BRITISH JOURNAL OF HOSPITAL MEDICINE, 1994, 52 (10): : 523 - 528
  • [46] Risk Factors for Hospital Death in Patients With Acute Aortic Dissection
    Zhang, Jing
    Jiang, Yujuan
    Gao, Chao
    Feng, Jun
    Wang, Ailing
    HEART LUNG AND CIRCULATION, 2015, 24 (04): : 348 - 353
  • [47] Risk Factors of Hyperbilirubinemia after Acute Type A Aortic Dissection
    Yu, Wenbo
    Liang, Yuan
    Yu, Junjian
    Gao, Jianfeng
    Li, Wentong
    Tian, Chennan
    Zhong, Xuehong
    Li, Peijun
    Liu, Ziyou
    Xiong, Jianxian
    HEART SURGERY FORUM, 2024, 27 (05): : E459 - E464
  • [48] Etiologic factors of acute aortic dissection in children and young adults
    Fikar, GR
    Koch, S
    CLINICAL PEDIATRICS, 2000, 39 (02) : 71 - 80
  • [49] Risk factors for early mortality in acute aortic dissection surgery
    Engin, Mesut
    Guvenc, Gamze
    EUROPEAN JOURNAL OF RADIOLOGY, 2024, 178
  • [50] The effect of meteorological conditions and air pollution on the occurrence of type A and B acute aortic dissections
    Xie, Nan
    Zou, Liqun
    Ye, Lei
    INTERNATIONAL JOURNAL OF BIOMETEOROLOGY, 2018, 62 (09) : 1607 - 1613