Out of hospital cardiac arrests and aortic dissection
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.48750/acv.498 |
Resumo: | INTRODUCTION: Out of Hospital Cardiac Arrest (OHCA) is one of the main causes of death worldwide. Most of the intrinsic causes of OHCA tend to be of cardiac origin, however, non-cardiac etiologies such as acute aortic dissection (AAD) may be more common than previously thought. The aim of this focused review is to summarize current knowledge on the association between OHCA and AAD. METHODS: A systematic review was previously performed on the incidence of AAD in the context of OHCA. For this publication, the selected references were reviewed to address three pre-determined questions: 1) How prevalent is Acute Aortic Dissection in Patients presenting with Out of Hospital Cardiac Arrest? 2) What clinical signs are associated with OHCA due to Acute Aortic Dissection? 3) How can we treat these patients and what is their prognosis? RESULTS: AAD may cause OHCA due to several reasons, such as retrograde involvement of the coronary arteries, aortic valve insufficiency, pericardium tamponade, aortic rupture, massive stroke, visceral malperfusion or hypertensive induced heart failure, for example. Since both the treatment and diagnosis of acute aortic dissections have improved, a growing number of OHCA due to AAD patients have been diagnosed and managed, however, the epidemiology and outcomes of these patients are still not fully understood. |
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Out of hospital cardiac arrests and aortic dissectionParagem Cardíaca fora do Hospital e Dissecção da Aorta.Out of Hospital Cardiac ArrestAortic DissectionReview [Publication Type]INTRODUCTION: Out of Hospital Cardiac Arrest (OHCA) is one of the main causes of death worldwide. Most of the intrinsic causes of OHCA tend to be of cardiac origin, however, non-cardiac etiologies such as acute aortic dissection (AAD) may be more common than previously thought. The aim of this focused review is to summarize current knowledge on the association between OHCA and AAD. METHODS: A systematic review was previously performed on the incidence of AAD in the context of OHCA. For this publication, the selected references were reviewed to address three pre-determined questions: 1) How prevalent is Acute Aortic Dissection in Patients presenting with Out of Hospital Cardiac Arrest? 2) What clinical signs are associated with OHCA due to Acute Aortic Dissection? 3) How can we treat these patients and what is their prognosis? RESULTS: AAD may cause OHCA due to several reasons, such as retrograde involvement of the coronary arteries, aortic valve insufficiency, pericardium tamponade, aortic rupture, massive stroke, visceral malperfusion or hypertensive induced heart failure, for example. Since both the treatment and diagnosis of acute aortic dissections have improved, a growing number of OHCA due to AAD patients have been diagnosed and managed, however, the epidemiology and outcomes of these patients are still not fully understood.A Paragem Cardíaca Fora do Hospital (OHCA) é uma das principais causas de morte atualmente. A maioria das causas intrínsecas de OHCA tende a ser de origem cardíaca, no entanto, etiologias não cardíacas, como dissecção aguda de aorta, podem ser mais comuns do que se pensava anteriormente. A dissecção aguda de aorta (AAD) pode causar OHCA por diversos motivos, como envolvimento retrógrado das artérias coronárias, insuficiência valvular aórtica, tamponamento pericárdico, rutura aórtica, acidente vascular cerebral major, má perfusão visceral ou insuficiência cardíaca induzida por hipertensão, por exemplo. Uma vez que o tratamento e o diagnóstico das dissecções agudas da aorta melhoraram, um número crescente de doentes com OHCA devido a AAD têm sido diagnosticados e ratados, no entanto, a epidemiologia e os resultados desses doentes ainda não são totalmente compreendidos. Nesta revisão temos como objetivo discutir e analisar a epidemiologia da OHCA por DAA e os seus resultados.Sociedade Portuguesa de Angiologia e Cirurgia Vascular2023-03-23info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.48750/acv.498https://doi.org/10.48750/acv.498Angiologia e Cirurgia Vascular; Vol. 18 No. 4 (2022): December; 241-244Angiologia e Cirurgia Vascular; Vol. 18 N.º 4 (2022): December; 241-2442183-00961646-706Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://acvjournal.com/index.php/acv/article/view/498http://acvjournal.com/index.php/acv/article/view/498/317Copyright (c) 2023 Angiologia e Cirurgia Vascularinfo:eu-repo/semantics/openAccessGouveia e Melo, RyanFernandes e Fernandes, RuyCaldeira, DanielLopes, AliceHenriques, MickaelMagalhães, TiagoMendes Pedro, Luís2023-03-24T10:30:15Zoai:ojs.acvjournal.com:article/498Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T17:46:06.237876Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Out of hospital cardiac arrests and aortic dissection Paragem Cardíaca fora do Hospital e Dissecção da Aorta. |
title |
Out of hospital cardiac arrests and aortic dissection |
spellingShingle |
Out of hospital cardiac arrests and aortic dissection Gouveia e Melo, Ryan Out of Hospital Cardiac Arrest Aortic Dissection Review [Publication Type] |
title_short |
Out of hospital cardiac arrests and aortic dissection |
title_full |
Out of hospital cardiac arrests and aortic dissection |
title_fullStr |
Out of hospital cardiac arrests and aortic dissection |
title_full_unstemmed |
Out of hospital cardiac arrests and aortic dissection |
title_sort |
Out of hospital cardiac arrests and aortic dissection |
author |
Gouveia e Melo, Ryan |
author_facet |
Gouveia e Melo, Ryan Fernandes e Fernandes, Ruy Caldeira, Daniel Lopes, Alice Henriques, Mickael Magalhães, Tiago Mendes Pedro, Luís |
author_role |
author |
author2 |
Fernandes e Fernandes, Ruy Caldeira, Daniel Lopes, Alice Henriques, Mickael Magalhães, Tiago Mendes Pedro, Luís |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Gouveia e Melo, Ryan Fernandes e Fernandes, Ruy Caldeira, Daniel Lopes, Alice Henriques, Mickael Magalhães, Tiago Mendes Pedro, Luís |
dc.subject.por.fl_str_mv |
Out of Hospital Cardiac Arrest Aortic Dissection Review [Publication Type] |
topic |
Out of Hospital Cardiac Arrest Aortic Dissection Review [Publication Type] |
description |
INTRODUCTION: Out of Hospital Cardiac Arrest (OHCA) is one of the main causes of death worldwide. Most of the intrinsic causes of OHCA tend to be of cardiac origin, however, non-cardiac etiologies such as acute aortic dissection (AAD) may be more common than previously thought. The aim of this focused review is to summarize current knowledge on the association between OHCA and AAD. METHODS: A systematic review was previously performed on the incidence of AAD in the context of OHCA. For this publication, the selected references were reviewed to address three pre-determined questions: 1) How prevalent is Acute Aortic Dissection in Patients presenting with Out of Hospital Cardiac Arrest? 2) What clinical signs are associated with OHCA due to Acute Aortic Dissection? 3) How can we treat these patients and what is their prognosis? RESULTS: AAD may cause OHCA due to several reasons, such as retrograde involvement of the coronary arteries, aortic valve insufficiency, pericardium tamponade, aortic rupture, massive stroke, visceral malperfusion or hypertensive induced heart failure, for example. Since both the treatment and diagnosis of acute aortic dissections have improved, a growing number of OHCA due to AAD patients have been diagnosed and managed, however, the epidemiology and outcomes of these patients are still not fully understood. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-03-23 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.48750/acv.498 https://doi.org/10.48750/acv.498 |
url |
https://doi.org/10.48750/acv.498 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
http://acvjournal.com/index.php/acv/article/view/498 http://acvjournal.com/index.php/acv/article/view/498/317 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2023 Angiologia e Cirurgia Vascular info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2023 Angiologia e Cirurgia Vascular |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Angiologia e Cirurgia Vascular |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Angiologia e Cirurgia Vascular |
dc.source.none.fl_str_mv |
Angiologia e Cirurgia Vascular; Vol. 18 No. 4 (2022): December; 241-244 Angiologia e Cirurgia Vascular; Vol. 18 N.º 4 (2022): December; 241-244 2183-0096 1646-706X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799131544404623360 |