open access

Vol 22, No 2 (2015)
Original articles
Published online: 2015-04-28
Get Citation

Predictors of in-hospital mortality in coronary artery dissection: Findings from the National Inpatient Sample 2009–2010

Jalaj Garg, Parasuram Krishnamoorthy, Chandrasekar Palaniswamy, Ambarish Pandey, Hasan Ahmad
DOI: 10.5603/CJ.a2014.0048
·
Cardiol J 2015;22(2):135-140.

open access

Vol 22, No 2 (2015)
Original articles
Published online: 2015-04-28

Abstract

Background: The pathophysiology of coronary artery dissection (CD) remains poorly under­stood and little is known about the factors predicting mortality in these patients. We aimed to study the epidemiology of CD and predictors of mortality in these patients.

Methods: All patients diagnosed with CD in the Nationwide Inpatient Sample 2009–2010 database using International Classification of Diseases ninth revision 414.12 were included in the study. Chronic conditions included in the analysis were diabetes mellitus, hypertension, hyperlipidemia, coronary artery disease (CAD), obesity, alcohol use, smoking, heart failure and ventricular arrhythmias. Non-cardiovascular conditions were connective tissue disorders, fibromuscular dysplasia, Ehlers-Danlos syndrome, Marfan’s syndrome, sarcoidosis, Crohn’s disease, polycystic kidney disease, rheumatoid arthritis, vasculitis including giant cell arteritis, polyarteritis nodosa and Takayasu’s disease, cocaine use, early or premature labor.

Results: The prevalence of CD in the United States was 0.02% (n = 11,255), based on the hospital admissions reviewed in the database. The mean age was 63.25 years with women (64.62 years) being older than men (62.25 years) (p < 0.001). In-hospital mortality rate was 4.2%, with women (5.5%) having higher mortality than men (3.2%) (p = 0.009). Ventricular arrhythmias (OR 5.86, p < 0.001) predicted higher mortality, while hyperlipidemia (OR 0.26, p < 0.001) and CAD (OR 0.31, p = 0.001) predicted lower mortality in multivariate analysis.

Conclusions: Our study demonstrated that CD was more prevalent in men but women had higher mortality than men. Age, heart failure and ventricular arrhythmias were independent predictors of increased mortality but hyperlipidemia CAD predicted lower mortality in patients with CD.

Abstract

Background: The pathophysiology of coronary artery dissection (CD) remains poorly under­stood and little is known about the factors predicting mortality in these patients. We aimed to study the epidemiology of CD and predictors of mortality in these patients.

Methods: All patients diagnosed with CD in the Nationwide Inpatient Sample 2009–2010 database using International Classification of Diseases ninth revision 414.12 were included in the study. Chronic conditions included in the analysis were diabetes mellitus, hypertension, hyperlipidemia, coronary artery disease (CAD), obesity, alcohol use, smoking, heart failure and ventricular arrhythmias. Non-cardiovascular conditions were connective tissue disorders, fibromuscular dysplasia, Ehlers-Danlos syndrome, Marfan’s syndrome, sarcoidosis, Crohn’s disease, polycystic kidney disease, rheumatoid arthritis, vasculitis including giant cell arteritis, polyarteritis nodosa and Takayasu’s disease, cocaine use, early or premature labor.

Results: The prevalence of CD in the United States was 0.02% (n = 11,255), based on the hospital admissions reviewed in the database. The mean age was 63.25 years with women (64.62 years) being older than men (62.25 years) (p < 0.001). In-hospital mortality rate was 4.2%, with women (5.5%) having higher mortality than men (3.2%) (p = 0.009). Ventricular arrhythmias (OR 5.86, p < 0.001) predicted higher mortality, while hyperlipidemia (OR 0.26, p < 0.001) and CAD (OR 0.31, p = 0.001) predicted lower mortality in multivariate analysis.

Conclusions: Our study demonstrated that CD was more prevalent in men but women had higher mortality than men. Age, heart failure and ventricular arrhythmias were independent predictors of increased mortality but hyperlipidemia CAD predicted lower mortality in patients with CD.

Get Citation

Keywords

coronary artery dissection, risk factors, predictors of mortality, arrhythmias

About this article
Title

Predictors of in-hospital mortality in coronary artery dissection: Findings from the National Inpatient Sample 2009–2010

Journal

Cardiology Journal

Issue

Vol 22, No 2 (2015)

Pages

135-140

Published online

2015-04-28

DOI

10.5603/CJ.a2014.0048

Bibliographic record

Cardiol J 2015;22(2):135-140.

Keywords

coronary artery dissection
risk factors
predictors of mortality
arrhythmias

Authors

Jalaj Garg
Parasuram Krishnamoorthy
Chandrasekar Palaniswamy
Ambarish Pandey
Hasan Ahmad

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By "Via Medica sp. z o.o." sp.k., ul. Świętokrzyska 73, 80–180 Gdańsk, Poland
tel.:+48 58 320 94 94, fax:+48 58 320 94 60, e-mail: viamedica@viamedica.pl