American Journal of Cardiology
Volume 102, Issue 10 , Pages 1399-1406 , 15 November 2008

Risk Factors for Diagnostic Delay in Acute Aortic Dissection

  • Claudio Rapezzi, MD

      Affiliations

    • Institute of Cardiology, University of Bologna and S. Orsola-Malpighi Hospital, Bologna, Italy
    • Corresponding Author InformationCorresponding author: Tel: 39-051-636-4483; fax: 39-051-344-859
    • ,
  • Simone Longhi, MD

      Affiliations

    • Institute of Cardiology, University of Bologna and S. Orsola-Malpighi Hospital, Bologna, Italy
    • ,
  • Maddalena Graziosi, MD

      Affiliations

    • Institute of Cardiology, University of Bologna and S. Orsola-Malpighi Hospital, Bologna, Italy
    • ,
  • Elena Biagini, MD, PhD

      Affiliations

    • Institute of Cardiology, University of Bologna and S. Orsola-Malpighi Hospital, Bologna, Italy
    • ,
  • Francesca Terzi, MD

      Affiliations

    • Institute of Cardiology, University of Bologna and S. Orsola-Malpighi Hospital, Bologna, Italy
    • ,
  • Robin M.T. Cooke, MA

      Affiliations

    • Institute of Cardiology, University of Bologna and S. Orsola-Malpighi Hospital, Bologna, Italy
    • ,
  • Cristina Quarta, MD

      Affiliations

    • Institute of Cardiology, University of Bologna and S. Orsola-Malpighi Hospital, Bologna, Italy
    • ,
  • Diego Sangiorgi, MStat

      Affiliations

    • Institute of Cardiology, University of Bologna and S. Orsola-Malpighi Hospital, Bologna, Italy
    • ,
  • Paolo Ciliberti, MD

      Affiliations

    • Institute of Cardiology, University of Bologna and S. Orsola-Malpighi Hospital, Bologna, Italy
    • ,
  • Giuseppe Di Pasquale, MD

      Affiliations

    • Division of Cardiology, Maggiore Hospital, Bologna, Italy
    • ,
  • Angelo Branzi, MD

      Affiliations

    • Institute of Cardiology, University of Bologna and S. Orsola-Malpighi Hospital, Bologna, Italy

Received 16 May 2008 ,Revised 13 July 2008 ,Accepted 13 July 2008.

  • Image Result

    Annual median values of overall time to diagnosis in terms of hospital arrival time (prehosp) (light gray) and in-hospital diagnostic time (inhosp) (dark gray).

    Annual median values of overall time to diagnosis in terms of hospital arrival time (prehosp) (light gray) and in-hospital diagnostic time (inhosp) (dark gray).

  • Image Result

    Distributions of annual values of overall time to diagnosis (A), hospital arrival time (B), and in-hospital diagnostic time (C), with medians (boxes) and IQRs (lines).

    Distributions of annual values of overall time to diagnosis (A), hospital arrival time (B), and in-hospital diagnostic time (C), with medians (boxes) and IQRs (lines).

  • Image Result

    Risk factors at univariate analysis for late in-hospital diagnosis (>75th percentile) in the overall population (A) and within the subset of patients (n = 82) with routine troponin test values (B). EC

    Risk factors at univariate analysis for late in-hospital diagnosis (>75th percentile) in the overall population (A) and within the subset of patients (n = 82) with routine troponin test values (B). ECG = electrocardiogram; SBP = systolic blood pressure.

 The study was supported in part by Fondazione Fanti Melloni (Bologna, Italy), a nonprofit-making foundation dedicated to cardiovascular research.

PII: S0002-9149(08)01216-2

doi: 10.1016/j.amjcard.2008.07.013

American Journal of Cardiology
Volume 102, Issue 10 , Pages 1399-1406 , 15 November 2008

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