{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T21:14:07Z","timestamp":1760044447081},"reference-count":21,"publisher":"National Library of Serbia","issue":"5","license":[{"start":{"date-parts":[[2011,1,1]],"date-time":"2011-01-01T00:00:00Z","timestamp":1293840000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["VSP","VOJNOSANIT PREGL","VOJNOSANITETSKI PREG"],"published-print":{"date-parts":[[2011]]},"abstract":"<jats:p>Background\/Aim. Hypertension is a known predictor of proximal aortic\n   dissection, but it is not commonly present in these patients on presentation.\n   The associations between ascending aorta with left ventricular hypertrophy,\n   cardiovascular risk factors and coronary atherosclerosis, and outcome of\n   these patients are not fully elucidated. Methods. This retrospective study\n   included 55 consecutive patients with acute type A aortic dissection treated\n   surgically in our institution during the last 2 years. The diagnosis was\n   based on imaging studies. Diameter of ascending aorta was measured with\n   echocardiography. Results. The mean age of the patients was 55.4 ? 12.19\n   years, and 72.7% were men. A history of arterial hypertension was present in\n   76.4% of the patients. Maximal ascending aorta diameter was 4.09 ? 0.59 cm,\n   while patients with frank aneurysm accounted for 5.5%. Systolic blood\n   pressure on admission was &lt; 150 mmHg in 58.2% of the patients. Diastolic\n   blood pressure on admission was &lt; 90 mmHg in 54.5% of the patients. Mean\n   arterial pressure on admission was 104.9 ? 24.6 mmHg. No correlations were\n   demonstrated between maximal ascending aorta diameter and diameter of the\n   left ventricular wall, any obtained risk factor and with coronary artery\n   atherosclerosis (p &gt; 0.05). After six months 11 (20%) patients died, while\n   intrahospital mortality was 72%. According to logistic regression analysis\n   which included traditional risk factors, echo parameters, coronary artery\n   disease and logistic euro scor, mean arterial blood pressure was the\n   independent predictor of a six-month mortality [RR 0.956; CI (0.918-0.994 );\n   p = 0.024]. Conclusion. In our population the acute type A aortic dissection\n   occurred rarely in the setting of frank ascending aortic aneurysms &gt; 5.0 cm.\n   The majority of patients had a history of arterial hypertension. A history of\n   arterial hypertension was not associated with maximal ascending aorta\n   diameter. Mean arterial blood pressure was the independent predictor of a\n   six-months mortality.<\/jats:p>","DOI":"10.2298\/vsp1105410p","type":"journal-article","created":{"date-parts":[[2011,5,17]],"date-time":"2011-05-17T09:06:03Z","timestamp":1305623163000},"page":"410-416","source":"Crossref","is-referenced-by-count":1,"title":["Low arterial pressure on admission as a predictor of mortality in operated patients with type A aortic dissection"],"prefix":"10.2298","volume":"68","author":[{"given":"Katica","family":"Pavlovic","sequence":"first","affiliation":[{"name":"Institut za kardiovaskularne bolesti Vojvodine, Klinika za kardiologiju, Sremska Kamenica"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nada","family":"Cemerlic-Adjic","sequence":"additional","affiliation":[{"name":"Institut za kardiovaskularne bolesti Vojvodine, Klinika za kardiologiju, Sremska Kamenica"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aleksandra","family":"Jovelic","sequence":"additional","affiliation":[{"name":"Institut za kardiovaskularne bolesti Vojvodine, Klinika za kardiologiju, Sremska Kamenica"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dalibor","family":"Somer","sequence":"additional","affiliation":[{"name":"Institut za kardiovaskularne bolesti Vojvodine, Klinika za kardiologiju, Sremska Kamenica"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1078","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1097\/HJH.0b013e3281fc975a"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1161\/01.HYP.0000107251.49515.c2"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1378\/chest.117.5.1221"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1001\/jama.283.7.897"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.107.690933"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1177\/1753944708090830"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.4065\/84.5.465"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2004.04.019"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.0000027568.39540.4B"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1016\/S0195-668X(02)00799-6"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1136\/heart.84.1.64"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2005.10.013"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.107.702720"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9149(01)02238-X"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(89)90430-X"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(03)00922-7"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2006.08.007"},{"key":"18","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(02)03603-2"},{"key":"19","doi-asserted-by":"publisher","DOI":"10.1161\/hc0202.102246"},{"key":"20","doi-asserted-by":"publisher","DOI":"10.1510\/icvts.2009.203976"},{"key":"21","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2009.01.030"}],"container-title":["Vojnosanitetski pregled","Military Medical and Pharmaceutical Journal of Serbia"],"original-title":[],"language":"en","deposited":{"date-parts":[[2023,5,29]],"date-time":"2023-05-29T11:09:50Z","timestamp":1685358590000},"score":1,"resource":{"primary":{"URL":"https:\/\/doiserbia.nb.rs\/Article.aspx?ID=0042-84501105410P"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011]]},"references-count":21,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2011]]}},"URL":"https:\/\/doi.org\/10.2298\/vsp1105410p","relation":{},"ISSN":["0042-8450","2406-0720"],"issn-type":[{"value":"0042-8450","type":"print"},{"value":"2406-0720","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011]]}}}