Aortic dissection epidemiology and demographics

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Aortic dissection Microchapters

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Overview

Historical Perspective

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Pathophysiology

Causes

Differentiating Aortic dissection from other Diseases

Epidemiology and Demographics

Risk Factors

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Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

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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.

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