A Fatal Disaster: Accompanying Aortic Dissection Obscured by Acute Coronary Syndrome

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dc.authoridUlkucu, Attila/0000-0003-2820-2686
dc.authorwosidaltay, servet/C-1387-2018
dc.contributor.authorUlkucu, Attila
dc.contributor.authorAltay, Servet
dc.date.accessioned2024-06-12T10:52:14Z
dc.date.available2024-06-12T10:52:14Z
dc.date.issued2023
dc.departmentTrakya Üniversitesien_US
dc.description.abstractThe present study investigated the characteristics of rare but often fatal cases of acute coronary syndrome and aortic dissection and the factors affecting mortality. HEART score, aortic dissection detection risk score, and Global Registry of Acute Coronary Event (GRACE) Score were calculated by evaluating biochemical tests and symptoms/signs of the 20 patients who were admitted to our clinic with a preliminary diagnosis of acute myocardial infarction and subsequently diagnosed with aortic dissection. The assumption of normal distribution was checked with the Shapiro-Wilk test, and independent group comparisons were made with the t test or the Mann-Whitney U test. Relationships between qualitative variables were analyzed with chi-square tests. Relationships between quantitative variables were analyzed with Pearson or Spearman correlation coefficients. Patients with conditions like hypertension and diabetes are at higher risk for aortic dissection. We recommend the use of the GRACE Score with the risk parameters we have determined for the prediction of operative mortality. We suggest that the axillary region and antegrade cerebral perfusion may be preferred as the cannulation area in dissection repair. We emphasize preliminary risk assessment according to the aortic dissection detection risk score and remind physicians that ECG ST-T and troponin changes may be misleading.en_US
dc.identifier.doi10.1177/00033197231191167
dc.identifier.issn0003-3197
dc.identifier.issn1940-1574
dc.identifier.pmid37501377en_US
dc.identifier.scopus2-s2.0-85165966646en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.urihttps://doi.org/10.1177/00033197231191167
dc.identifier.urihttps://hdl.handle.net/20.500.14551/18644
dc.identifier.wosWOS:001038685300001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSage Publications Incen_US
dc.relation.ispartofAngiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAortic Dissectionen_US
dc.subjectAcute Coronary Syndromeen_US
dc.subjectMortalityen_US
dc.subjectGRACE Scoreen_US
dc.subjectHEART Scoreen_US
dc.subjectAortic Dissection Detection Risk Scoreen_US
dc.subjectAcute Myocardial-Infarctionen_US
dc.subjectSt-Segment Elevationen_US
dc.subjectInternational Registryen_US
dc.subjectCerebral Perfusionen_US
dc.subjectAscending Aortaen_US
dc.subjectManagementen_US
dc.subjectSurgeryen_US
dc.subjectAntegradeen_US
dc.subjectOutcomesen_US
dc.titleA Fatal Disaster: Accompanying Aortic Dissection Obscured by Acute Coronary Syndromeen_US
dc.typeArticleen_US

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