Aortic dissection epidemiology and demographics: Difference between revisions

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{{Template:Aortic dissection}}
{{Template:Aortic dissection}}
 
{{CMG}}; '''Associate Editor-In-Chief:''' {{Sahar}} {{CZ}}
{{CMG}}; '''Associate Editor-In-Chief:''' {{CZ}}
 
==Overview==
==Overview==
There are approximately 2000 cases of aortic dissection in the US per year, and aortic dissection accounts  for 3-4% of [[sudden deaths]]. The peak incidence is in the sixth and seventh decades, and males predominate 2:1.
The [[incidence]] of aortic dissection is approximately 6 per 100,000 individuals worldwide.The [[incidence]] of aortic dissection increases with age, with a mean age of 63 years. Men are more commonly affected by aortic dissection than women. However, the [[prognosis]] tends to be worse in women due to unusual presentations. There is no [[racial]] predilection to aortic dissection. However, non-white [[race]] is associated with worse [[prognosis]]. The 30-days [[mortality rate]] of aortic dissection type A and B is approximately 47% and 13%, respectively.
==Epidemiology and Demographics==
===Incidence===
*The [[incidence]] of aortic dissection is approximately 6 per 100,000 individuals worldwide.<ref name="HowardBanerjee2013">{{cite journal|last1=Howard|first1=Dominic P.J.|last2=Banerjee|first2=Amitava|last3=Fairhead|first3=Jack F.|last4=Perkins|first4=Jeremy|last5=Silver|first5=Louise E.|last6=Rothwell|first6=Peter M.|title=Population-Based Study of Incidence and Outcome of Acute Aortic Dissection and Premorbid Risk Factor Control|journal=Circulation|volume=127|issue=20|year=2013|pages=2031–2037|issn=0009-7322|doi=10.1161/CIRCULATIONAHA.112.000483}}</ref>
===Age===
*The [[incidence]] of aortic dissection increases with age, with a mean age of 63 years.<ref name="OlssonThelin2006">{{cite journal|last1=Olsson|first1=Christian|last2=Thelin|first2=Stefan|last3=Ståhle|first3=Elisabeth|last4=Ekbom|first4=Anders|last5=Granath|first5=Fredrik|title=Thoracic Aortic Aneurysm and Dissection|journal=Circulation|volume=114|issue=24|year=2006|pages=2611–2618|issn=0009-7322|doi=10.1161/CIRCULATIONAHA.106.630400}}</ref><ref>{{cite journal|title=Correspondence|journal=The Annals of Thoracic Surgery|volume=67|issue=2|year=1999|pages=593|issn=00034975|doi=10.1016/S0003-4975(99)00037-5}}</ref>
===Race===
*There is no [[racial]] predilection to aortic dissection. However, non-white race is associated with worse [[prognosis]].<ref name="HarrisKlyushnenkova2016">{{cite journal|last1=Harris|first1=Donald|last2=Klyushnenkova|first2=Elena|last3=Kalsi|first3=Richa|last4=Garrido|first4=Danon|last5=Bhardwaj|first5=Abhishek|last6=Rabin|first6=Joseph|last7=Toursavadkohi|first7=Shahab|last8=Diaz|first8=Jose|last9=Crawford|first9=Robert|title=Non-White Race Is an Independent Risk Factor for Hospitalization for Aortic Dissection|journal=Ethnicity & Disease|volume=26|issue=3|year=2016|pages=363|issn=1945-0826|doi=10.18865/ed.26.3.363}}</ref>
===Gender===
*Men are more commonly affected by aortic dissection than women. However, the [[prognosis]] tends to be worse in women due to unusual presentations.<ref name="OlssonThelin2006">{{cite journal|last1=Olsson|first1=Christian|last2=Thelin|first2=Stefan|last3=Ståhle|first3=Elisabeth|last4=Ekbom|first4=Anders|last5=Granath|first5=Fredrik|title=Thoracic Aortic Aneurysm and Dissection|journal=Circulation|volume=114|issue=24|year=2006|pages=2611–2618|issn=0009-7322|doi=10.1161/CIRCULATIONAHA.106.630400}}</ref>
===Mortality rate===
*The 30-days [[mortality rate]] of aortic dissection type A and B is approximately 47% and 13% affected individuals, respectively.<ref name="HowardBanerjee2013">{{cite journal|last1=Howard|first1=Dominic P.J.|last2=Banerjee|first2=Amitava|last3=Fairhead|first3=Jack F.|last4=Perkins|first4=Jeremy|last5=Silver|first5=Louise E.|last6=Rothwell|first6=Peter M.|title=Population-Based Study of Incidence and Outcome of Acute Aortic Dissection and Premorbid Risk Factor Control|journal=Circulation|volume=127|issue=20|year=2013|pages=2031–2037|issn=0009-7322|doi=10.1161/CIRCULATIONAHA.112.000483}}</ref>
== References ==
{{Reflist|2}}


==Age==
{{WH}}
The highest incidence of aortic dissection is in individuals who are 50 to 70 years old.  Half of dissections in females before age 40 occur during [[pregnancy]] (typically in the 3rd trimester or early [[postpartum]] period). Patients with type I dissection present approximately 6 years younger than those with type II or type II dissection.


==Gender==
{{WS}}
The incidence is twice as high in males as in females (male-to-female ratio is 2:1).
[[CME Category::Cardiology]]


== References ==
{{Reflist|2}}
[[Category:Disease]]
[[Category:Cardiology]]
[[Category:Cardiology]]
[[Category:Emergency medicine]]
[[Category:Emergency medicine]]
[[Category:Intensive care medicine]]
[[Category:Intensive care medicine]]
 
[[Category:Up-To-Date]]
{{WH}}
[[Category:Up-To-Date cardiology]]
 
{{WS}}

Latest revision as of 17:29, 10 December 2019

Aortic dissection Microchapters

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Epidemiology and Demographics

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Case #1


Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Sahar Memar Montazerin, M.D.[2] Cafer Zorkun, M.D., Ph.D. [3]

Overview

The incidence of aortic dissection is approximately 6 per 100,000 individuals worldwide.The incidence of aortic dissection increases with age, with a mean age of 63 years. Men are more commonly affected by aortic dissection than women. However, the prognosis tends to be worse in women due to unusual presentations. There is no racial predilection to aortic dissection. However, non-white race is associated with worse prognosis. The 30-days mortality rate of aortic dissection type A and B is approximately 47% and 13%, respectively.

Epidemiology and Demographics

Incidence

  • The incidence of aortic dissection is approximately 6 per 100,000 individuals worldwide.[1]

Age

  • The incidence of aortic dissection increases with age, with a mean age of 63 years.[2][3]

Race

  • There is no racial predilection to aortic dissection. However, non-white race is associated with worse prognosis.[4]

Gender

  • Men are more commonly affected by aortic dissection than women. However, the prognosis tends to be worse in women due to unusual presentations.[2]

Mortality rate

  • The 30-days mortality rate of aortic dissection type A and B is approximately 47% and 13% affected individuals, respectively.[1]

References

  1. ↑ 1.0 1.1 Howard, Dominic P.J.; Banerjee, Amitava; Fairhead, Jack F.; Perkins, Jeremy; Silver, Louise E.; Rothwell, Peter M. (2013). "Population-Based Study of Incidence and Outcome of Acute Aortic Dissection and Premorbid Risk Factor Control". Circulation. 127 (20): 2031–2037. doi:10.1161/CIRCULATIONAHA.112.000483. ISSN 0009-7322.
  2. ↑ 2.0 2.1 Olsson, Christian; Thelin, Stefan; Ståhle, Elisabeth; Ekbom, Anders; Granath, Fredrik (2006). "Thoracic Aortic Aneurysm and Dissection". Circulation. 114 (24): 2611–2618. doi:10.1161/CIRCULATIONAHA.106.630400. ISSN 0009-7322.
  3. ↑ "Correspondence". The Annals of Thoracic Surgery. 67 (2): 593. 1999. doi:10.1016/S0003-4975(99)00037-5. ISSN 0003-4975.
  4. ↑ Harris, Donald; Klyushnenkova, Elena; Kalsi, Richa; Garrido, Danon; Bhardwaj, Abhishek; Rabin, Joseph; Toursavadkohi, Shahab; Diaz, Jose; Crawford, Robert (2016). "Non-White Race Is an Independent Risk Factor for Hospitalization for Aortic Dissection". Ethnicity & Disease. 26 (3): 363. doi:10.18865/ed.26.3.363. ISSN 1945-0826.

Template:WH

Template:WS CME Category::Cardiology

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