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在普通人群中,胸主动脉瘤是一种重要的心血管疾病。

The prevalence of thoracic aorta aneurysm as an important cardiovascular disease in the general population.

机构信息

Department of Cardiology, School of Medicine, Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.

Department of Immunology, School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran.

出版信息

J Cardiothorac Surg. 2022 Mar 23;17(1):51. doi: 10.1186/s13019-022-01767-0.

Abstract

BACKGROUND

The aorta is the largest and main artery in the body. The enlargement of the aortic diameter known as ectasia results in aneurysm. Thoracic aorta aneurysm can involve one or more segments of the aorta. Non-invasive imaging techniques play an important role in identifying patients, estimating maximal aneurysm diameter, following up patients, and detecting complications. So, this study was performed to estimate the prevalence of ascending thoracic aorta aneurysm in the general population of Iran.

METHODS

People with an abnormal aortic size (˃ 36 mm) were enrolled and subjected to diagnostic tests, and related risk factors were assessed.

RESULT

Of the 3400 people examined, 410 (12%) had abnormal aorta sizes, and 42 (1.2%) had ascending aorta aneurysm. Out of the 410 patients with elevated aorta size, 235 (57%) were males, and 175 (43%) were females. Overall, 229 patients (56%) had hypertension, and 255 (62%) were over 60 years old.

CONCLUSION

In this study, we showed that the prevalence of ascending aorta aneurysm in the general population of Iran was about 1.2%. Ascending aorta aneurysm is a threatening pathology of the aorta. The high prevalence of hypertension may explain the high incidence of aneurysm in our studied population. Therefore, it is necessary to implement an accurate screening plan to identify patients with hypertension and provide appropriate treatment and adequate follow up to patients. Patients with ascending aorta aneurysm are also recommended to modify their lifestyles.

摘要

背景

主动脉是人体最大和主要的动脉。主动脉直径的扩大称为扩张,导致动脉瘤。胸主动脉瘤可累及主动脉的一个或多个节段。非侵入性成像技术在识别患者、估计最大动脉瘤直径、随访患者和检测并发症方面发挥着重要作用。因此,本研究旨在评估伊朗普通人群升主动脉瘤的患病率。

方法

对主动脉大小异常(>36mm)的人群进行了检查,并进行了诊断性检查,评估了相关的危险因素。

结果

在 3400 名受检者中,有 410 人(12%)的主动脉大小异常,42 人(1.2%)有升主动脉瘤。在 410 名主动脉增宽的患者中,235 名(57%)为男性,175 名(43%)为女性。总的来说,229 名患者(56%)患有高血压,255 名患者(62%)年龄超过 60 岁。

结论

在本研究中,我们表明伊朗普通人群升主动脉瘤的患病率约为 1.2%。升主动脉瘤是主动脉的一种威胁性病变。高血压的高患病率可能解释了我们研究人群中动脉瘤发病率较高的原因。因此,有必要实施一项准确的筛查计划,以识别高血压患者,并为患者提供适当的治疗和充分的随访。还建议升主动脉瘤患者改变生活方式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/505d/8944034/ef0ef5f76326/13019_2022_1767_Fig1_HTML.jpg

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