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Association of Left Ventricular Hypertrophy and Aortic Dilation in Patients with Acute Thoracic Aortic Dissection
This study was designed to evaluate the impact of left ventricular mass on aortic diameters in patients who presented with acute thoracic aortic dissection where aortic dilation is common. Retrospective review of transthoracic and transesophageal echocardiograms was conducted for 63 patients treated...
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| Published in: | Angiology 2001-07, Vol.52 (7), p.447-455 |
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| container_end_page | 455 |
| container_issue | 7 |
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| container_title | Angiology |
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| creator | Iarussi, Diana Caruso, Aurelio Galderisi, Maurizio Covino, Franco Enrico Dialetto, Giovanni Bossone, Eduardo de Divitiis, Oreste Cotrufo, Maurizio |
| description | This study was designed to evaluate the impact of left ventricular mass on aortic diameters in patients who presented with acute thoracic aortic dissection where aortic dilation is common. Retrospective review of transthoracic and transesophageal echocardiograms was conducted for 63 patients treated for acute thoracic aortic dissection and for 16 normal subjects who were comparable for gender prevalence, age, heart rate, and blood pressure. The diameter of the aortic root was measured by transthoracic echocardiography. Diameters of the ascending aorta, and of the aorta at locations of 25, 30, and 35 cm from the dental arch were measured by transesophageal echocardiography. The findings indicated that all aortic diameters were significantly larger in patients with aortic dissection. Patients with aortic dissection also presented with greater left ventricular mass indices (p < 0.00001) than normal subjects. Fractional shortening and left atrial diameter measurements obtained in patients with aortic dissection were similar to those obtained in the control group.
Overall, the left ventricular mass index exhibited univariate relationships with aortic root diameter (r= 0.27, p |
| doi_str_mv | 10.1177/000331970105200702 |
| format | article |
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Overall, the left ventricular mass index exhibited univariate relationships with aortic root diameter (r= 0.27, p<0.02) and aortic diameters at 25 cm (r=0.51, p < 0.00001), 30 cm (r= 0.58, p < 0.00001), and 35 cm (r= 0.55, p < 0.00001) distal to the arch but not with the diameter of the ascending aorta. After adjusting for gender, body mass index, history of hyper tension and aortic dissection extent (Stanford types) by separate multivariate models, the authors found that the left ventricular mass index was independently associated with aortic diameters at 25 cm (β = 0.32, p < 0.001), 30 cm (β = 0.38, p < 0.0001), and 35 cm (β = 0.34, p < 0.0005) distal to the arch. They conclude that left ventricular mass is independently asso ciated with aortic arch and descending aorta diameters in patients with acute thoracic aortic dissection. Left ventricular hypertrophy may be considered a risk factor for aortic enlarge ment and subsequent dissection.]]></description><identifier>ISSN: 0003-3197</identifier><identifier>EISSN: 1940-1574</identifier><identifier>DOI: 10.1177/000331970105200702</identifier><identifier>PMID: 11515983</identifier><identifier>CODEN: ANGIAB</identifier><language>eng</language><publisher>Thousand Oaks, CA: SAGE Publications</publisher><subject>Acute Disease ; Aneurysm, Dissecting - etiology ; Aneurysm, Dissecting - pathology ; Aorta - diagnostic imaging ; Aorta - pathology ; Aorta, Thoracic ; Aortic Aneurysm, Thoracic - etiology ; Aortic Aneurysm, Thoracic - pathology ; Biological and medical sciences ; Blood and lymphatic vessels ; Cardiology. Vascular system ; Dilatation, Pathologic ; Diseases of the aorta ; Echocardiography ; Echocardiography, Transesophageal ; Evaluation ; Female ; Heart ventricle, Left ; Humans ; Hypertrophy ; Hypertrophy, Left Ventricular - complications ; Hypertrophy, Left Ventricular - pathology ; Male ; Medical sciences ; Methods ; Middle Aged ; Physiological aspects ; Retrospective Studies ; Risk Factors</subject><ispartof>Angiology, 2001-07, Vol.52 (7), p.447-455</ispartof><rights>2001 INIST-CNRS</rights><rights>COPYRIGHT 2001 Sage Publications, Inc.</rights><rights>Copyright Westminster Publications, Inc. Jul 2001</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c497t-a8234260bf25a09f2c4b6722cbc1ff8099d3c44ac6cf66b0f06b25583b89f5903</citedby><cites>FETCH-LOGICAL-c497t-a8234260bf25a09f2c4b6722cbc1ff8099d3c44ac6cf66b0f06b25583b89f5903</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>309,310,314,780,784,789,790,23929,23930,25139,27923,27924,79235</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1051397$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11515983$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Iarussi, Diana</creatorcontrib><creatorcontrib>Caruso, Aurelio</creatorcontrib><creatorcontrib>Galderisi, Maurizio</creatorcontrib><creatorcontrib>Covino, Franco Enrico</creatorcontrib><creatorcontrib>Dialetto, Giovanni</creatorcontrib><creatorcontrib>Bossone, Eduardo</creatorcontrib><creatorcontrib>de Divitiis, Oreste</creatorcontrib><creatorcontrib>Cotrufo, Maurizio</creatorcontrib><title>Association of Left Ventricular Hypertrophy and Aortic Dilation in Patients with Acute Thoracic Aortic Dissection</title><title>Angiology</title><addtitle>Angiology</addtitle><description><![CDATA[This study was designed to evaluate the impact of left ventricular mass on aortic diameters in patients who presented with acute thoracic aortic dissection where aortic dilation is common. Retrospective review of transthoracic and transesophageal echocardiograms was conducted for 63 patients treated for acute thoracic aortic dissection and for 16 normal subjects who were comparable for gender prevalence, age, heart rate, and blood pressure. The diameter of the aortic root was measured by transthoracic echocardiography. Diameters of the ascending aorta, and of the aorta at locations of 25, 30, and 35 cm from the dental arch were measured by transesophageal echocardiography. The findings indicated that all aortic diameters were significantly larger in patients with aortic dissection. Patients with aortic dissection also presented with greater left ventricular mass indices (p < 0.00001) than normal subjects. Fractional shortening and left atrial diameter measurements obtained in patients with aortic dissection were similar to those obtained in the control group.
Overall, the left ventricular mass index exhibited univariate relationships with aortic root diameter (r= 0.27, p<0.02) and aortic diameters at 25 cm (r=0.51, p < 0.00001), 30 cm (r= 0.58, p < 0.00001), and 35 cm (r= 0.55, p < 0.00001) distal to the arch but not with the diameter of the ascending aorta. After adjusting for gender, body mass index, history of hyper tension and aortic dissection extent (Stanford types) by separate multivariate models, the authors found that the left ventricular mass index was independently associated with aortic diameters at 25 cm (β = 0.32, p < 0.001), 30 cm (β = 0.38, p < 0.0001), and 35 cm (β = 0.34, p < 0.0005) distal to the arch. They conclude that left ventricular mass is independently asso ciated with aortic arch and descending aorta diameters in patients with acute thoracic aortic dissection. Left ventricular hypertrophy may be considered a risk factor for aortic enlarge ment and subsequent dissection.]]></description><subject>Acute Disease</subject><subject>Aneurysm, Dissecting - etiology</subject><subject>Aneurysm, Dissecting - pathology</subject><subject>Aorta - diagnostic imaging</subject><subject>Aorta - pathology</subject><subject>Aorta, Thoracic</subject><subject>Aortic Aneurysm, Thoracic - etiology</subject><subject>Aortic Aneurysm, Thoracic - pathology</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Cardiology. 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Vascular system</topic><topic>Dilatation, Pathologic</topic><topic>Diseases of the aorta</topic><topic>Echocardiography</topic><topic>Echocardiography, Transesophageal</topic><topic>Evaluation</topic><topic>Female</topic><topic>Heart ventricle, Left</topic><topic>Humans</topic><topic>Hypertrophy</topic><topic>Hypertrophy, Left Ventricular - complications</topic><topic>Hypertrophy, Left Ventricular - pathology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Methods</topic><topic>Middle Aged</topic><topic>Physiological aspects</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Iarussi, Diana</creatorcontrib><creatorcontrib>Caruso, Aurelio</creatorcontrib><creatorcontrib>Galderisi, Maurizio</creatorcontrib><creatorcontrib>Covino, Franco Enrico</creatorcontrib><creatorcontrib>Dialetto, Giovanni</creatorcontrib><creatorcontrib>Bossone, Eduardo</creatorcontrib><creatorcontrib>de Divitiis, Oreste</creatorcontrib><creatorcontrib>Cotrufo, Maurizio</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health Medical collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Angiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Iarussi, Diana</au><au>Caruso, Aurelio</au><au>Galderisi, Maurizio</au><au>Covino, Franco Enrico</au><au>Dialetto, Giovanni</au><au>Bossone, Eduardo</au><au>de Divitiis, Oreste</au><au>Cotrufo, Maurizio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association of Left Ventricular Hypertrophy and Aortic Dilation in Patients with Acute Thoracic Aortic Dissection</atitle><jtitle>Angiology</jtitle><addtitle>Angiology</addtitle><date>2001-07-01</date><risdate>2001</risdate><volume>52</volume><issue>7</issue><spage>447</spage><epage>455</epage><pages>447-455</pages><issn>0003-3197</issn><eissn>1940-1574</eissn><coden>ANGIAB</coden><abstract><![CDATA[This study was designed to evaluate the impact of left ventricular mass on aortic diameters in patients who presented with acute thoracic aortic dissection where aortic dilation is common. Retrospective review of transthoracic and transesophageal echocardiograms was conducted for 63 patients treated for acute thoracic aortic dissection and for 16 normal subjects who were comparable for gender prevalence, age, heart rate, and blood pressure. The diameter of the aortic root was measured by transthoracic echocardiography. Diameters of the ascending aorta, and of the aorta at locations of 25, 30, and 35 cm from the dental arch were measured by transesophageal echocardiography. The findings indicated that all aortic diameters were significantly larger in patients with aortic dissection. Patients with aortic dissection also presented with greater left ventricular mass indices (p < 0.00001) than normal subjects. Fractional shortening and left atrial diameter measurements obtained in patients with aortic dissection were similar to those obtained in the control group.
Overall, the left ventricular mass index exhibited univariate relationships with aortic root diameter (r= 0.27, p<0.02) and aortic diameters at 25 cm (r=0.51, p < 0.00001), 30 cm (r= 0.58, p < 0.00001), and 35 cm (r= 0.55, p < 0.00001) distal to the arch but not with the diameter of the ascending aorta. After adjusting for gender, body mass index, history of hyper tension and aortic dissection extent (Stanford types) by separate multivariate models, the authors found that the left ventricular mass index was independently associated with aortic diameters at 25 cm (β = 0.32, p < 0.001), 30 cm (β = 0.38, p < 0.0001), and 35 cm (β = 0.34, p < 0.0005) distal to the arch. They conclude that left ventricular mass is independently asso ciated with aortic arch and descending aorta diameters in patients with acute thoracic aortic dissection. Left ventricular hypertrophy may be considered a risk factor for aortic enlarge ment and subsequent dissection.]]></abstract><cop>Thousand Oaks, CA</cop><pub>SAGE Publications</pub><pmid>11515983</pmid><doi>10.1177/000331970105200702</doi><tpages>9</tpages></addata></record> |
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| subjects | Acute Disease Aneurysm, Dissecting - etiology Aneurysm, Dissecting - pathology Aorta - diagnostic imaging Aorta - pathology Aorta, Thoracic Aortic Aneurysm, Thoracic - etiology Aortic Aneurysm, Thoracic - pathology Biological and medical sciences Blood and lymphatic vessels Cardiology. Vascular system Dilatation, Pathologic Diseases of the aorta Echocardiography Echocardiography, Transesophageal Evaluation Female Heart ventricle, Left Humans Hypertrophy Hypertrophy, Left Ventricular - complications Hypertrophy, Left Ventricular - pathology Male Medical sciences Methods Middle Aged Physiological aspects Retrospective Studies Risk Factors |
| title | Association of Left Ventricular Hypertrophy and Aortic Dilation in Patients with Acute Thoracic Aortic Dissection |
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