Temporal Variations at the Onset of Spontaneous Acute Aortic Dissection
There have only been a few studies of the chronobiological occurrence of acute aortic dissection (AAD), and most were international and multicentered. The aim of the present study, conducted at only one center, was to determine the most frequent daily, monthly, and seasonal occurrences of AAD. The s...
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| Veröffentlicht in: | International Heart Journal 2006, Vol.47(4), pp.585-595 |
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| creator | Lasica, Ratko M. Perunicic, Jovan Mrdovic, Igor Tesic, Bosiljka Vujisic Stojanovic, Radan Milic, Natasa Simic, Dragan Vasiljevic, Zorana |
| description | There have only been a few studies of the chronobiological occurrence of acute aortic dissection (AAD), and most were international and multicentered. The aim of the present study, conducted at only one center, was to determine the most frequent daily, monthly, and seasonal occurrences of AAD. The study population included 204 patients (66.5% male) treated at our institute between January 1, 1998 and January 1, 2004. A significantly higher frequency of AAD occurred from 6:00 AM to 12:00 noon, compared with other time periods (P < 0.001). The results showed a significant circadian variation in AAD (P < 0.001) with a peak between 9:00 AM and 10:00 AM. No significant variation was found for the day of the week; however, AAD occurred most frequently on Wednesday and Monday. The frequency of AAD was found to be significantly higher during winter versus other seasons (P < 0.001). The analysis of monthly variations of the onset of AAD confirmed a peak in February (12.9%) and in January (12.3%). Similar to other cardiovascular diseases, AAD exhibits significant circadian and seasonal/monthly variations. Our findings indicate that the prevention of AAD, especially during the aforementioned vulnerable periods, is possible by adequate tailoring of the treatment of hypertension, which is the main AAD predisposing factor. |
| doi_str_mv | 10.1536/ihj.47.585 |
| format | Article |
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The aim of the present study, conducted at only one center, was to determine the most frequent daily, monthly, and seasonal occurrences of AAD. The study population included 204 patients (66.5% male) treated at our institute between January 1, 1998 and January 1, 2004. A significantly higher frequency of AAD occurred from 6:00 AM to 12:00 noon, compared with other time periods (P < 0.001). The results showed a significant circadian variation in AAD (P < 0.001) with a peak between 9:00 AM and 10:00 AM. No significant variation was found for the day of the week; however, AAD occurred most frequently on Wednesday and Monday. The frequency of AAD was found to be significantly higher during winter versus other seasons (P < 0.001). The analysis of monthly variations of the onset of AAD confirmed a peak in February (12.9%) and in January (12.3%). Similar to other cardiovascular diseases, AAD exhibits significant circadian and seasonal/monthly variations. Our findings indicate that the prevention of AAD, especially during the aforementioned vulnerable periods, is possible by adequate tailoring of the treatment of hypertension, which is the main AAD predisposing factor.</description><identifier>ISSN: 1349-2365</identifier><identifier>EISSN: 1349-3299</identifier><identifier>DOI: 10.1536/ihj.47.585</identifier><identifier>PMID: 16960413</identifier><language>eng</language><publisher>Japan: International Heart Journal Association</publisher><subject>Aged ; Aneurysm, Dissecting - diagnosis ; Aneurysm, Dissecting - epidemiology ; Aneurysm, Dissecting - etiology ; Aortic Aneurysm, Thoracic - diagnosis ; Aortic Aneurysm, Thoracic - epidemiology ; Aortic Aneurysm, Thoracic - etiology ; Aortic dissection ; Aortography ; Circadian Rhythm ; Circardian rhythmicity ; Echocardiography, Transesophageal ; Female ; Follow-Up Studies ; Humans ; Hypertension ; Hypertension - complications ; Hypertension - epidemiology ; Hypertension - physiopathology ; Incidence ; Initial pain onset ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Prognosis ; Retrospective Studies ; Risk Factors ; Seasons ; Tomography, X-Ray Computed ; Yugoslavia - epidemiology</subject><ispartof>International Heart Journal, 2006, Vol.47(4), pp.585-595</ispartof><rights>2006 by the International Heart Journal Association</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c524t-42954fcf46ea458715b0aa594765e4e84ee948cd355cfda4522f202e8c387dfc3</citedby><cites>FETCH-LOGICAL-c524t-42954fcf46ea458715b0aa594765e4e84ee948cd355cfda4522f202e8c387dfc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,1884,27929,27930</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16960413$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lasica, Ratko M.</creatorcontrib><creatorcontrib>Perunicic, Jovan</creatorcontrib><creatorcontrib>Mrdovic, Igor</creatorcontrib><creatorcontrib>Tesic, Bosiljka Vujisic</creatorcontrib><creatorcontrib>Stojanovic, Radan</creatorcontrib><creatorcontrib>Milic, Natasa</creatorcontrib><creatorcontrib>Simic, Dragan</creatorcontrib><creatorcontrib>Vasiljevic, Zorana</creatorcontrib><title>Temporal Variations at the Onset of Spontaneous Acute Aortic Dissection</title><title>International Heart Journal</title><addtitle>Int. Heart J.</addtitle><description>There have only been a few studies of the chronobiological occurrence of acute aortic dissection (AAD), and most were international and multicentered. The aim of the present study, conducted at only one center, was to determine the most frequent daily, monthly, and seasonal occurrences of AAD. The study population included 204 patients (66.5% male) treated at our institute between January 1, 1998 and January 1, 2004. A significantly higher frequency of AAD occurred from 6:00 AM to 12:00 noon, compared with other time periods (P < 0.001). The results showed a significant circadian variation in AAD (P < 0.001) with a peak between 9:00 AM and 10:00 AM. No significant variation was found for the day of the week; however, AAD occurred most frequently on Wednesday and Monday. The frequency of AAD was found to be significantly higher during winter versus other seasons (P < 0.001). The analysis of monthly variations of the onset of AAD confirmed a peak in February (12.9%) and in January (12.3%). Similar to other cardiovascular diseases, AAD exhibits significant circadian and seasonal/monthly variations. Our findings indicate that the prevention of AAD, especially during the aforementioned vulnerable periods, is possible by adequate tailoring of the treatment of hypertension, which is the main AAD predisposing factor.</description><subject>Aged</subject><subject>Aneurysm, Dissecting - diagnosis</subject><subject>Aneurysm, Dissecting - epidemiology</subject><subject>Aneurysm, Dissecting - etiology</subject><subject>Aortic Aneurysm, Thoracic - diagnosis</subject><subject>Aortic Aneurysm, Thoracic - epidemiology</subject><subject>Aortic Aneurysm, Thoracic - etiology</subject><subject>Aortic dissection</subject><subject>Aortography</subject><subject>Circadian Rhythm</subject><subject>Circardian rhythmicity</subject><subject>Echocardiography, Transesophageal</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Hypertension - complications</subject><subject>Hypertension - epidemiology</subject><subject>Hypertension - physiopathology</subject><subject>Incidence</subject><subject>Initial pain onset</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Prognosis</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Seasons</subject><subject>Tomography, X-Ray Computed</subject><subject>Yugoslavia - epidemiology</subject><issn>1349-2365</issn><issn>1349-3299</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkD1PwzAQhi0EolBY-AHIEwNSiuOPxJlQVaAgVepAYbVc50xT5QvbGfj3pEooi8-ne-7V6UHoJiazWLDkodjtZzydCSlO0EXMeBYxmmWn45-yREzQpfd7QngsSHqOJnGSJX3DLtByA1XbOF3iT-0KHYqm9lgHHHaA17WHgBuL39umDrqGpvN4broAeN64UBj8VHgP5rB0hc6sLj1cj3WKPl6eN4vXaLVevi3mq8gIykPEaSa4NZYnoLmQaSy2RGuR8TQRwEFygIxLkzMhjM17hFJLCQVpmExza9gU3Q25rWu-O_BBVYU3UJbDeSqRkgnCWA_eD6BxjfcOrGpdUWn3o2KiDtpUr03xVPXaevh2TO22FeT_6OipBx4HYO-D_oIjoA8aSvjL4sPTRx4nZqedgpr9Am2bf0Y</recordid><startdate>20060701</startdate><enddate>20060701</enddate><creator>Lasica, Ratko M.</creator><creator>Perunicic, Jovan</creator><creator>Mrdovic, Igor</creator><creator>Tesic, Bosiljka Vujisic</creator><creator>Stojanovic, Radan</creator><creator>Milic, Natasa</creator><creator>Simic, Dragan</creator><creator>Vasiljevic, Zorana</creator><general>International Heart Journal Association</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20060701</creationdate><title>Temporal Variations at the Onset of Spontaneous Acute Aortic Dissection</title><author>Lasica, Ratko M. ; Perunicic, Jovan ; Mrdovic, Igor ; Tesic, Bosiljka Vujisic ; Stojanovic, Radan ; Milic, Natasa ; Simic, Dragan ; Vasiljevic, Zorana</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c524t-42954fcf46ea458715b0aa594765e4e84ee948cd355cfda4522f202e8c387dfc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Aged</topic><topic>Aneurysm, Dissecting - diagnosis</topic><topic>Aneurysm, Dissecting - epidemiology</topic><topic>Aneurysm, Dissecting - etiology</topic><topic>Aortic Aneurysm, Thoracic - diagnosis</topic><topic>Aortic Aneurysm, Thoracic - epidemiology</topic><topic>Aortic Aneurysm, Thoracic - etiology</topic><topic>Aortic dissection</topic><topic>Aortography</topic><topic>Circadian Rhythm</topic><topic>Circardian rhythmicity</topic><topic>Echocardiography, Transesophageal</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Hypertension</topic><topic>Hypertension - complications</topic><topic>Hypertension - epidemiology</topic><topic>Hypertension - physiopathology</topic><topic>Incidence</topic><topic>Initial pain onset</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Prognosis</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Seasons</topic><topic>Tomography, X-Ray Computed</topic><topic>Yugoslavia - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lasica, Ratko M.</creatorcontrib><creatorcontrib>Perunicic, Jovan</creatorcontrib><creatorcontrib>Mrdovic, Igor</creatorcontrib><creatorcontrib>Tesic, Bosiljka Vujisic</creatorcontrib><creatorcontrib>Stojanovic, Radan</creatorcontrib><creatorcontrib>Milic, Natasa</creatorcontrib><creatorcontrib>Simic, Dragan</creatorcontrib><creatorcontrib>Vasiljevic, Zorana</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International Heart Journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lasica, Ratko M.</au><au>Perunicic, Jovan</au><au>Mrdovic, Igor</au><au>Tesic, Bosiljka Vujisic</au><au>Stojanovic, Radan</au><au>Milic, Natasa</au><au>Simic, Dragan</au><au>Vasiljevic, Zorana</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Temporal Variations at the Onset of Spontaneous Acute Aortic Dissection</atitle><jtitle>International Heart Journal</jtitle><addtitle>Int. Heart J.</addtitle><date>2006-07-01</date><risdate>2006</risdate><volume>47</volume><issue>4</issue><spage>585</spage><epage>595</epage><pages>585-595</pages><issn>1349-2365</issn><eissn>1349-3299</eissn><abstract>There have only been a few studies of the chronobiological occurrence of acute aortic dissection (AAD), and most were international and multicentered. The aim of the present study, conducted at only one center, was to determine the most frequent daily, monthly, and seasonal occurrences of AAD. The study population included 204 patients (66.5% male) treated at our institute between January 1, 1998 and January 1, 2004. A significantly higher frequency of AAD occurred from 6:00 AM to 12:00 noon, compared with other time periods (P < 0.001). The results showed a significant circadian variation in AAD (P < 0.001) with a peak between 9:00 AM and 10:00 AM. No significant variation was found for the day of the week; however, AAD occurred most frequently on Wednesday and Monday. The frequency of AAD was found to be significantly higher during winter versus other seasons (P < 0.001). The analysis of monthly variations of the onset of AAD confirmed a peak in February (12.9%) and in January (12.3%). Similar to other cardiovascular diseases, AAD exhibits significant circadian and seasonal/monthly variations. Our findings indicate that the prevention of AAD, especially during the aforementioned vulnerable periods, is possible by adequate tailoring of the treatment of hypertension, which is the main AAD predisposing factor.</abstract><cop>Japan</cop><pub>International Heart Journal Association</pub><pmid>16960413</pmid><doi>10.1536/ihj.47.585</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Aneurysm, Dissecting - diagnosis Aneurysm, Dissecting - epidemiology Aneurysm, Dissecting - etiology Aortic Aneurysm, Thoracic - diagnosis Aortic Aneurysm, Thoracic - epidemiology Aortic Aneurysm, Thoracic - etiology Aortic dissection Aortography Circadian Rhythm Circardian rhythmicity Echocardiography, Transesophageal Female Follow-Up Studies Humans Hypertension Hypertension - complications Hypertension - epidemiology Hypertension - physiopathology Incidence Initial pain onset Magnetic Resonance Imaging Male Middle Aged Prognosis Retrospective Studies Risk Factors Seasons Tomography, X-Ray Computed Yugoslavia - epidemiology |
| title | Temporal Variations at the Onset of Spontaneous Acute Aortic Dissection |
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