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Predictive value of heart rate in patients with acute type A aortic dissection: a retrospective cohort study by Yong Zhou; Qipeng Luo; Xiaoxiao Guo; Hongbai Wang; Yuan Jia; Liang Cao; Yang Wang; Fuxia Yan; Cuntao Yu; Su Yuan is a Medicine article available to read on EtoBox.
What is Predictive value of heart rate in patients with acute type A aortic dissection: a retrospective cohort study about?
## Objective Heart rate (HR) is a risk factor of mortality in many cardiovascular diseases but no clinical studies have focused on the association between HR and prognosis in patients with acute type A aortic dissection (ATAAD). This study aimed to evaluate the association between HR and long-term mortality and establish the criteria of HR in patients with ATAAD who underwent total aortic arch replacement combined with the frozen elephant trunk (TAR+FET). ## Design, setting and participants Retrospective cohort study that studied all consecutive patients with ATAAD who underwent TAR+FET in the Fuwai Hospital between 2009 and 2015. ## Main outcomes and measures 30-day postoperative, and estimated long-term mortality. ## Results Overall, 707 patients with ATAAD who underwent TAR+FET were followed up for a median duration of 29 months (range, 5–77 months). In multivariate logistic analysis, HR (p<0.001), age (p<0.001), renal insufficiency (p=0.033), ejection fraction (p=0.005), cardiopulmonary bypass time (p 80 bpm was associated with an almost threefold higher long-term mortality. HRs ≤60, 60–70, 70–80, 80–90, 90–100, 100–110 and >110 bpm were associated with 3.9%, 4.0%, 3.8%, 7.2%,
Who reads Predictive value of heart rate in patients with acute type A aortic dissection: a retrospective cohort study?
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- Author
- Yong Zhou; Qipeng Luo; Xiaoxiao Guo; Hongbai Wang; Yuan Jia; Liang Cao; Yang Wang; Fuxia Yan; Cuntao Yu; Su Yuan
- Publisher
- BMJ
- Published
- 2021
- Language
- EN
- Field
- Medicine (Health Sciences)